Individual provider Active NPI

Holly Dowdy Earles, FNP-BC

  • Family Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1174411623
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024193887 Issued in VA
Practice address
1009 Old Country Club Rd NW
Roanoke, VA 24017-2927
Phone
(540) 235-1940
Fax
(540) 276-6833
NPI assigned
Jun 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024193887 VA Primary

Addresses

Primary practice location

1009 Old Country Club Rd NW
Roanoke, VA 24017-2927

Mailing address

5082 Thornspring Rd
Pulaski, VA 24301-7032
Phone (540) 235-1940

Other practice location 1

120 Old Virginia Ave
Rich Creek, VA 24147-9669
Phone (540) 235-1940

Other practice location 2

3365 Ogden Rd
Roanoke, VA 24018-1151
Phone (540) 235-1940

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251009002910 VA Practitioner - Nurse Practitioner 6608373162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5082 Thornspring Rd
Pulaski, VA 24301-7032
Phone (540) 235-1940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Medicine, PLLC Family CurrentSince Jul 1, 2025 Accepting new patients
Good Samaritan Hospice, Inc. PastSince Jun 1, 2025 Accepting new patients

Locations

1160 Moose Dr
Christiansburg, VA 24073
Phone (540) 381-3171

3365 Ogden Rd
Roanoke, VA 24018
Phone (540) 682-7500

1009 Old Country Club Rd NW
Roanoke, VA 24017
Phone (540) 344-6248

Organizations & group practices 2

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": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1174411623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5082 THORNSPRING RD",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243017032",
            "telephone_number": "540-235-1940",
            "fax_number": "540-276-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 OLD COUNTRY CLUB RD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240172927",
            "telephone_number": "540-235-1940",
            "fax_number": "540-276-6833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Old Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Rich Creek",
            "state": "VA",
            "postal_code": "241479669",
            "country_code": "US",
            "telephone_number": "540-235-1940",
            "fax_number": "540-276-6833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3365 Ogden Rd",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240181151",
            "country_code": "US",
            "telephone_number": "540-235-1940",
            "fax_number": "540-276-6833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EARLES",
        "first_name": "HOLLY",
        "middle_name": "DOWDY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024193887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.