Individual provider Active NPI

Erin Holloway, ANP

  • Adult Health Nurse Practitioner
  • St. Louis, MO
National Provider Identifier
1033369798
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
133876 Issued in MO
Practice address
3844 S. Lindbergh Blvd
Suite 160
St. Louis, MO 63127
Phone
(314) 698-2500
Fax
(314) 698-2323
NPI assigned
Sep 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 133876 MO Primary

Addresses

Primary practice location

3844 S. Lindbergh Blvd
Suite 160
St. Louis, MO 63127

Mailing address

3844 S Lindbergh Blvd.
Suite 160
St. Louis, MO 63127
Phone (314) 698-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081124000734 MO Practitioner - Nurse Practitioner 6608936497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CJW Enterprises, IncGroup PAC ID 9537293816, 5 clinicians

Practice addresses (Care Compare)

522 N New Ballas Rd
Suite 199
Saint Louis, MO 63141-6815
Phone (314) 434-1600

9915 Kennerly Rd
Saint Louis, MO 63128-2703

9915 Kennerly Rd J
Saint Louis, MO 63128-2703
Phone (314) 843-4794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CJW Enterprises, Inc. CurrentSince Oct 11, 2011 Accepting new patients

Locations

1015 Bowles Ave
Ste 1000
Fenton, MO 63026
Phone (636) 390-1400

9915 Kennerly Rd
Ste J
Saint Louis, MO 63128
Phone (314) 843-4794

522 N New Ballas Rd
Ste 199
Saint Louis, MO 63141
Phone (314) 432-2323

Interoperability endpoints

  • Direct secure messaging: erinholloway@ihadv.allscriptsdirect.net

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1033369798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3844 S LINDBERGH BLVD.",
            "address_2": "SUITE 160",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63127",
            "telephone_number": "314-698-2500",
            "fax_number": "314-698-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3844 S. LINDBERGH BLVD",
            "address_2": "SUITE 160",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63127",
            "telephone_number": "314-698-2500",
            "fax_number": "314-698-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "133876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Louis, MO

Sources for this page

Verify at the official NPI Registry.