Individual provider Active NPI

Holly Valentine, FNP-C

  • Family Nurse Practitioner
  • Prairieville, LA
National Provider Identifier
1043678550
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08627 Issued in LA
Practice address
37283 Swamp Rd Ste 1102
Prairieville, LA 70769-3232
Phone
(225) 245-9355
Fax
(225) 536-9355
NPI assigned
Jan 29, 2016
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP08627 LA Primary

Addresses

Primary practice location

37283 Swamp Rd Ste 1102
Prairieville, LA 70769-3232

Mailing address

37283 Swamp Rd Ste 1102
Prairieville, LA 70769-3232
Phone (225) 245-9355

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hvalentine@revolutionwellness.emadirect.md Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260123002804 LA Order and Referring Only - Nurse Practitioner 8022301431

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Revolution Wellness CurrentSince Sep 14, 2025 Accepting new patients

Locations

37283 Swamp Rd
Ste 1102
Prairieville, LA 70769
Phone (225) 245-9355

Interoperability endpoints

  • Direct secure messaging: hvalentine@revolutionwellness.emadirect.md
  • Direct secure messaging: hvalentine14333@direct.casso.us.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1043678550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37283 SWAMP RD STE 1102",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693232",
            "telephone_number": "225-245-9355",
            "fax_number": "225-536-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37283 SWAMP RD STE 1102",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693232",
            "telephone_number": "225-245-9355",
            "fax_number": "225-536-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "HOLLY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hvalentine@revolutionwellness.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "37283 Swamp Rd Ste 1102",
            "city": "Prairieville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707693232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prairieville, LA

Sources for this page

Verify at the official NPI Registry.