Active NPI
Kirstin Rose Holland, PA-C
- Physician Assistant
- Rocky Mount, VA
National Provider Identifier
1174155139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 21230 Virgil H Goode Hwy
Rocky Mount, VA 24151-4022 - Phone
- (540) 352-4000
- NPI assigned
- Feb 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
21230 Virgil H Goode Hwy
Rocky Mount, VA 24151-4022
Mailing address
21230 Virgil H Goode Hwy
Rocky Mount, VA 24151-4022
Phone (540) 352-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230830001085 | VA | Practitioner - Physician Assistant | 3476929456 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Agenacare Urgent Care
Practice addresses (Care Compare)
1005 E Main St
Salem, VA 24153-4446
Phone (540) 352-4000
21230 Virgil H Goode Hwy
Rocky Mount, VA 24151-4022
Phone (540) 352-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767484800000",
"number": "1174155139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21230 VIRGIL H GOODE HWY",
"city": "ROCKY MOUNT",
"state": "VA",
"postal_code": "241514022",
"telephone_number": "540-352-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21230 VIRGIL H GOODE HWY",
"city": "ROCKY MOUNT",
"state": "VA",
"postal_code": "241514022",
"telephone_number": "540-352-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "KIRSTIN",
"middle_name": "ROSE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-07",
"last_updated": "2026-01-04",
"certification_date": "2026-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.