Holly Kristen Sanders, PNP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

236839 Issued in LA

Practice address

103 Dawson St
Homer, LA 71040-3124

Phone

(318) 548-2659

NPI assigned

Jul 31, 2024

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

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Master of Science - Nursing

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: holky.sanders.p1@direct.davidraineschc.nextgenshare.com

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.

• David Raines Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1215933254

  LA

  Medicare reassignment NPD
• David Raines Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1205721487
  NPD
• David Raines Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1437673464
  NPD
• David Raines Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Minden, LA
  • NPI 1265438998
  NPD (past)
• David Raines Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1346977055
  NPD (past)
• David Raines Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Bossier City, LA
  • NPI 1871338657
  NPD (past)
• David Raines Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Bossier City, LA
  • NPI 1891964789
  NPD (past)
• David Raines Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Haynesville, LA
  • NPI 1912903964
  NPD (past)
• David Raines Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1760042394
  NPD (past)
• David Raines Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1760904981
  NPD (past)
• David Raines Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1760906630
  NPD (past)
• David Raines Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1942083191
  NPD (past)

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1033948534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 DAWSON ST",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710403124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 DAWSON ST",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710403124",
            "telephone_number": "318-548-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "HOLLY",
        "middle_name": "KRISTEN",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "236839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin Harold Procell, DDS
• Katherine Rains, ACNP
• Margie Randall, LPN
• Kimberly Holley Reagan, MD
• Clifton Wales Salmon Jr., M.D.
• Alexis Eukisa Slaughter, LCSW
• John Henry Smith III, MD
• Marilyn Arnold Smith, LPC
• Southern Ingenuity Inc
• Southern Ingenuity Inc

• Pediatrics Physician in Homer, LA
• Providers in Homer, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.