Individual provider Active NPI

Holly Martin Millet, NP

  • Family Nurse Practitioner
  • Gramercy, LA
National Provider Identifier
1124658745
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
210698 Issued in LA
Practice address
827 N Pine St
Gramercy, LA 70052-3602
Phone
(225) 869-9200
Fax
(225) 869-9241
NPI assigned
Jan 23, 2020
Last updated
Jan 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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 210698 LA Primary

Addresses

Primary practice location

827 N Pine St
Gramercy, LA 70052-3602

Mailing address

PO Box 419
Gramercy, LA 70052-0419
Phone (225) 869-9200

Other practice location 1

502 Rue De Sante Ste 301
LA Place, LA 70068-5424
Phone (985) 652-5475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20200416002070 LA Practitioner - Nurse Practitioner 0143650044 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210698LAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. James Primary Care, Apmc CurrentSince Apr 1, 2020 Accepting new patients
St. James Primary Care CurrentSince Apr 1, 2020 Accepting new patients

Locations

108 N Ezidore Ave
Gramercy, LA 70052
Phone (225) 623-9751

827 N Pine St
Gramercy, LA 70052
Phone (225) 258-9490

502 Rue de Sante
Ste 301
La Place, LA 70068
Phone (985) 651-5751

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": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1124658745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419",
            "city": "GRAMERCY",
            "state": "LA",
            "postal_code": "700520419",
            "telephone_number": "225-869-9200",
            "fax_number": "225-869-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 N PINE ST",
            "city": "GRAMERCY",
            "state": "LA",
            "postal_code": "700523602",
            "telephone_number": "225-869-9200",
            "fax_number": "225-869-9241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 Rue De Sante Ste 301",
            "address_purpose": "LOCATION",
            "city": "LA Place",
            "state": "LA",
            "postal_code": "700685424",
            "country_code": "US",
            "telephone_number": "985-652-5475",
            "fax_number": "985-652-5476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLET",
        "first_name": "HOLLY",
        "middle_name": "MARTIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "210698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gramercy, LA

Sources for this page

Verify at the official NPI Registry.