Individual provider Active NPI

Marianne Elizabeth Hollingshead, LPN

  • Licensed Practical Nurse
  • Jacksonville, NC
National Provider Identifier
1063379287
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
HOLL-XQG3D Issued in NC
Practice address
1200 Commons Dr N
Jacksonville, NC 28546-0227
Phone
(910) 333-0622
Fax
(910) 333-0604
NPI assigned
Jan 8, 2026
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X HOLL-XQG3D NC Primary

Addresses

Primary practice location

1200 Commons Dr N
Jacksonville, NC 28546-0227

Mailing address

1200 Commons Dr N
Jacksonville, NC 28546-0227
Phone (910) 333-0622

Other names 1

  • Marianne Elizabeth Graham Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HOLL-XQG3DNCMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Onslow County Partnership for Children Past Accepting new patients
Onslow County Partnership for Children Past Accepting new patients

Organizations & group practices 2

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": "1767830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1063379287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 COMMONS DR N",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285460227",
            "telephone_number": "910-333-0622",
            "fax_number": "910-333-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 COMMONS DR N",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285460227",
            "telephone_number": "910-333-0622",
            "fax_number": "910-333-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSHEAD",
        "first_name": "MARIANNE",
        "middle_name": "ELIZABETH",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "HOLL-XQG3D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANNE",
            "last_name": "GRAHAM",
            "middle_name": "ELIZABETH",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.