Active NPI
Robert K Holland, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Louisville, KY
National Provider Identifier
1134521081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3008776
- Practice address
- 401 E Chestnut St Unit 610
Louisville, KY 40202-5711 - Phone
- (502) 588-4450
- Fax
- (502) 588-9539
- NPI assigned
- Sep 23, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 3008776 | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3008776 | KY | Primary |
Addresses
Primary practice location
401 E Chestnut St Unit 610
Louisville, KY 40202-5711
Mailing address
401 E Chestnut St Unit 600
Louisville, KY 40202-5705
Phone (502) 588-4450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3008776 | Other | KY | LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3008776 | KY | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1134521081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E CHESTNUT ST UNIT 600",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402025705",
"telephone_number": "502-588-4450",
"fax_number": "502-588-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E CHESTNUT ST UNIT 610",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402025711",
"telephone_number": "502-588-4450",
"fax_number": "502-588-9539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "ROBERT",
"middle_name": "K",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-23",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "KY",
"license": "3008776",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3008776",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "3008776",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.