Individual provider Active NPI

Amy Kathryn Holley, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Anniston, AL
National Provider Identifier
1154833531
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-104921 Issued in AL
Practice address
901 Leighton Ave Ste 702
Anniston, AL 36207-5765
Phone
(256) 231-2552
Fax
(256) 231-2550
NPI assigned
Oct 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-104921 AL Primary

Addresses

Primary practice location

901 Leighton Ave Ste 702
Anniston, AL 36207-5765

Mailing address

901 Leighton Ave Ste 702
Anniston, AL 36207-5765
Phone (256) 473-4518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20181022003602 AL Practitioner - Nurse Practitioner 6507119476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Associates LLCGroup PAC ID 9234156985, 208 clinicians

Practice addresses (Care Compare)

7063 Veterans Pkwy
Pell City, AL 35125-5114
Phone (205) 338-3301

Hospital & facility affiliations

  • St Vincent'S St Clair Hospital, Pell City, AL, CCN 010130
  • St. Vincent'S East Hospital, Birmingham, AL, CCN 010011
  • St Vincent'S Birmingham Hospital, Birmingham, AL, CCN 010056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-104921ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Associates LLC CurrentSince Apr 1, 2024 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Sep 1, 2018 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Sep 1, 2018 Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1154833531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 LEIGHTON AVE STE 702",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075765",
            "telephone_number": "256-473-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LEIGHTON AVE STE 702",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075765",
            "telephone_number": "256-231-2552",
            "fax_number": "256-231-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "AMY",
        "middle_name": "KATHRYN",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-104921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.