Martha C Holley, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

ARNP9269394 Issued in FL

Practice address

12959 Palms West Dr
Suite 210
Loxahatchee, FL 33470-4937

Phone

(561) 795-3333

Fax

(561) 791-3002

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Childrens Gastroenterology of South Florida

  • Specialist
  • Loxahatchee, FL
  • NPI 1437377702
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1164500476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12959 PALMS WEST DR",
            "address_2": "SUITE 210",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704937",
            "telephone_number": "561-795-3333",
            "fax_number": "561-791-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12959 PALMS WEST DR",
            "address_2": "SUITE 210",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704937",
            "telephone_number": "561-795-3333",
            "fax_number": "561-791-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "MARTHA",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0024052901",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9269394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010204011",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Higgins
• Christopher Thomas Hoff, PTA
• Holiday Quality Care Services Inc.
• David Thorne Holland, DDS
• Jacqueline Hollander
• Holly Creek Star Center, Inc.
• Jordyn Mariah Holmes
• Ebrahim Hoosien, MD
• Houser Surgical
• Jarod L Houser Sr., CSFA

• Pediatric Nurse Practitioner in Loxahatchee, FL
• Providers in Loxahatchee, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.