Active NPI
Holly Breanne White, FNP
- Family Nurse Practitioner
- Spartanburg, SC
National Provider Identifier
1104517283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 27035
- 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
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 |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.87 of 100
- Quality
- 79.98
- Improvement activities
- 40
- Cost
- 79.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spartanburg Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Minuteclinic Video Virtual Care, PLLC | Family | Current | 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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Spartanburg, SC
- NPI 1043309917
-
- Occupational Medicine Clinic/Center
- Spartanburg, SC
- NPI 1710081112
-
- Physical Medicine & Rehabilitation Physician
- Spartanburg, SC
- NPI 1942188875
-
- Family Nurse Practitioner
- Woonsocket, RI
- NPI 1316402746
-
- Obstetrics & Gynecology Physician
- Spartanburg, SC
- NPI 1376580852
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.