Angela C. Holland, R.N.

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

133734 Issued in NC

Practice address

5841 US 421 South
Buies Creek, NC 27506

Phone

(910) 893-5727

Fax

(910) 893-6404

NPI assigned

Mar 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sandhills Center for Mental Health, Developmental Disabilities and Sub

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West End, NC
  • NPI 1659398444
  NPD (past)
• Sandhills Center for MH/DD/Sas

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West End, NC
  • NPI 1871679449
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023134723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 7 LKS N",
            "address_2": "PO BOX 9",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "273769756",
            "telephone_number": "910-673-9111",
            "fax_number": "910-673-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 US 421 SOUTH",
            "city": "BUIES CREEK",
            "state": "NC",
            "postal_code": "27506",
            "telephone_number": "910-893-5727",
            "fax_number": "910-893-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "ANGELA",
        "middle_name": "C.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NC",
            "license": "133734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Tabler Dietrich, R.N.
• Peter Allen Fenn, PA
• Shelia Glenn, RN
• Abigail R Harrison, MS, LAT, ATC
• Alissa Hennen
• Betty Lynne Johnson, PA-C
• Matthew John Kesic, PHD, PA-S2
• Dawn Alicia Kuch
• Jessica Lail Libicer, PA-S
• Nichole A. Lilly

• Psychiatric/Mental Health Registered Nurse in Buies Creek, NC
• Providers in Buies Creek, NC by specialty
• Psychiatric/Mental Health Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.