Stephanie Holderman, PMHNP-BC

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

231439 Issued in NC

Practice address

5710 Oleander Dr Ste 112
Wilmington, NC 28403-4722

Phone

(910) 769-1785

NPI assigned

Nov 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rha Health Services Inc 55 clinicians

Pride in North Carolina LLC 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1760420186

  NC

  Medicare reassignment Care Compare group NPD
• Rha Health Services Inc

  • Community/Behavioral Health Agency
  • Concord, NC
  • NPI 1447376306

  NC

  Medicare reassignment Care Compare group NPD
• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Jacksonville, NC
  • NPI 1821136581
  NPD
• Rha Health Services, Inc

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1467584953
  NPD
• Rha Health Services, Inc

  • Community/Behavioral Health Agency
  • Yanceyville, NC
  • NPI 1629489307
  NPD

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1083215917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 OLEANDER DR STE 112",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034722",
            "telephone_number": "910-769-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 OLEANDER DR STE 112",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034722",
            "telephone_number": "910-769-1785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 S 16th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016611",
            "country_code": "US",
            "telephone_number": "910-632-2191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLDERMAN",
        "first_name": "STEPHANIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NC",
            "license": "231439",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5014010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Brooke Hogsed
• Aidan Hohan, RBT
• Gail Holcomb
• Lauren Holden, LCSW
• Stephanie H Holder
• Brittany Elizabeth Holdren, RBT
• Cortlyn Abigail Holdren
• Jeremy Paul Holdsworth, MD
• Natalie Holic
• Holistic Point Co

• All providers in Wilmington, NC
• Adult Psychiatric/Mental Health Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.