Active NPI
Felicia C Holston, NP-C
- Nurse Practitioner
- New Bern, NC
National Provider Identifier
1043749120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5009701
- Practice address
- 1040 Medical Park Ave
New Bern, NC 28562-5248 - Phone
- (252) 633-1678
- Fax
- (252) 633-1403
- NPI assigned
- Jun 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5009701 | NC | Primary |
Addresses
Primary practice location
1040 Medical Park Ave
New Bern, NC 28562-5248
Mailing address
PO Box 12248
New Bern, NC 28561-2248
Phone (252) 514-6685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5009701 | NC | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500854400000",
"number": "1043749120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12248",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285612248",
"telephone_number": "12525146685",
"fax_number": "252-633-1403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 MEDICAL PARK AVE",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625248",
"telephone_number": "252-633-1678",
"fax_number": "252-633-1403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLSTON",
"first_name": "FELICIA",
"middle_name": "C",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-12",
"last_updated": "2017-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5009701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.