Active NPI
David Holland
- Psychiatric/Mental Health Nurse Practitioner
- East Stroudsburg, PA
National Provider Identifier
1124695051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SPO23322
- Practice address
- 526 Independence Rd
East Stroudsburg, PA 18301-9208 - Phone
- (570) 775-3195
- NPI assigned
- Jun 9, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SPO23322 | PA | Primary |
Addresses
Primary practice location
526 Independence Rd
East Stroudsburg, PA 18301-9208
Mailing address
526 Independence Rd
East Stroudsburg, PA 18301-9208
Phone (570) 775-3195
Other practice location 1
526 Independence Rd
East Stroudsburg, PA 18301-9208
Phone (570) 775-3195 ext. 300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Allentown |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SPO23322 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1124695051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 INDEPENDENCE RD",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183019208",
"telephone_number": "570-775-3195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 INDEPENDENCE RD",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183019208",
"telephone_number": "570-775-3195"
}
],
"practiceLocations": [
{
"address_1": "526 Independence Rd",
"address_purpose": "LOCATION",
"city": "East Stroudsburg",
"state": "PA",
"postal_code": "183019208",
"country_code": "US",
"telephone_number": "570-775-3195 x300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLAND",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-09",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SPO23322",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Allentown",
"affiliation": "N",
"address_1": "1247 S Cedar Crest Blvd",
"city": "Allentown",
"state": "PA",
"country_code": "US",
"postal_code": "181036298",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.