Individual provider Active NPI

Cynthia L Holloran, NP

  • Nurse Practitioner
  • Woodsville, NH
National Provider Identifier
1114954864
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0291632305 Issued in NH
Practice address
79 Swiftwater Rd
Suite 2
Woodsville, NH 03785-1447
Phone
(603) 747-2900
Fax
(603) 747-2992
NPI assigned
Jun 27, 2006
Last updated
Jan 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0291632305 NH Primary

Addresses

Primary practice location

79 Swiftwater Rd
Suite 2
Woodsville, NH 03785-1447

Mailing address

79 Swiftwater Rd
Suite 2
Woodsville, NH 03785-1447
Phone (603) 747-2900

Other identifiers 7

IdentifierTypeStateIssuer
23YPO7158NH01OtherNHANTHEM BCBS
30340252MedicaidNH
68015OtherVTVT BCBS
4124988OtherVTMVP
ONP1707MedicaidVT
P00213176OtherRRMCR
51422OtherPACIGNA PA

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

LicenseStateTypeSpecialty
0291632305NHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cottage Hospital Past Accepting new patients
David Menon Corporation Past Accepting new patients
David Fagan, MD Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cholloran@yourcarecommunity.org

Organizations & group practices 3

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1114954864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 SWIFTWATER RD",
            "address_2": "SUITE 2",
            "city": "WOODSVILLE",
            "state": "NH",
            "postal_code": "037851447",
            "telephone_number": "603-747-2900",
            "fax_number": "603-747-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 SWIFTWATER RD",
            "address_2": "SUITE 2",
            "city": "WOODSVILLE",
            "state": "NH",
            "postal_code": "037851447",
            "telephone_number": "603-747-2900",
            "fax_number": "603-747-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLORAN",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "0291632305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "23YPO7158NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30340252",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VT BCBS",
            "identifier": "68015",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "4124988",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ONP1707",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "P00213176",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PA",
            "identifier": "51422",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodsville, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.