Individual provider Active NPI

Marina Suzanne Holloway, FNP

  • Family Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1033408828
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000015768 Issued in TN
Practice address
230 E James M Campbell Blvd Ste 102
Columbia, TN 38401
Phone
(931) 840-9588
NPI assigned
Apr 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X APN15768 TN
Nurse Practitioner 363L00000X APN15768 TN
Family Nurse Practitioner 363LF0000X APN0000015768 TN Primary

Addresses

Primary practice location

230 E James M Campbell Blvd Ste 102
Columbia, TN 38401

Mailing address

311 S 3Rd St
Union City, TN 38261-3723
Phone (731) 507-0062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20110914000386 TN Practitioner - Nurse Practitioner 0244401792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN15768TNMDNurse Practitioner
APN0000015768TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Pain Clinics Inc. CurrentSince Jul 16, 2018 Accepting new patients
NP Health of TN PLLC CurrentSince Sep 1, 2023 Accepting new patients
Spectrum Pain Clinics, Inc Pain Medicine CurrentSince Jul 16, 2018 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

230 E James M Campbell Blvd
Ste 102
Columbia, TN 38401
Phone (931) 840-9588

8132 Cordova Rd
Cordova, TN 38016
Phone (901) 367-0811

216 Fairground St
Franklin, TN 37064
Phone (256) 520-4879

211 Cool Springs Blvd
Franklin, TN 37067
Phone (615) 778-6800

6500 Kirby Gate Blvd
Memphis, TN 38119
Phone (901) 230-2232

311 S 3rd St
Union City, TN 38261

Organizations & group practices 3

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": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1033408828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S 3RD ST",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382613723",
            "telephone_number": "731-507-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E JAMES M CAMPBELL BLVD STE 102",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "38401",
            "telephone_number": "931-840-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "MARINA",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TN",
            "license": "APN15768",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN15768",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000015768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.