Individual provider Active NPI

Holly Breanne White, FNP

  • Family Nurse Practitioner
  • Spartanburg, SC
National Provider Identifier
1104517283
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27035 Issued in SC
Practice address
2660 Reidville Rd
Spartanburg, SC 29301-3512
Phone
(864) 560-9696
Fax
(864) 560-9636
NPI assigned
May 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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 27035 SC Primary

Addresses

Primary practice location

2660 Reidville Rd
Spartanburg, SC 29301-3512

Mailing address

105 Estate Ridge Rd
Gaffney, SC 29340-5637
Phone (864) 425-1369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
79.98
Improvement activities
40
Cost
79.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center CurrentSince Sep 1, 2024 Accepting new patients
Spartanburg Medical Center CurrentSince Sep 1, 2024 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince Jun 7, 2023 Accepting new patients
Spartanburg Medical Center Past Accepting new patients

Locations

150 D St
Greer, SC 29651
Phone (864) 560-9646

224 E Butler Rd
Mauldin, SC 29662
Phone (864) 234-1282

698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 962-8991

2660 Reidville Rd
Unit 1
Spartanburg, SC 29301
Phone (864) 560-9696

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1104517283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ESTATE RIDGE RD",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293405637",
            "telephone_number": "864-425-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 REIDVILLE RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293013512",
            "telephone_number": "864-560-9696",
            "fax_number": "864-560-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "HOLLY",
        "middle_name": "BREANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.