Individual provider Active NPI

Holli Hinote Johnson, CRNP

  • Family Nurse Practitioner
  • Prattville, AL
National Provider Identifier
1184092488
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-119421 Issued in AL
Practice address
660 McQueen Smith Rd N
Ste E
Prattville, AL 36066-7554
Phone
(334) 288-7808
Fax
(334) 387-3090
NPI assigned
Sep 3, 2015
Last updated
Feb 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-119421 AL Primary
Gerontology Nurse Practitioner 363LG0600X OS7143 FL

Addresses

Primary practice location

660 McQueen Smith Rd N
Ste E
Prattville, AL 36066-7554

Mailing address

PO Box 241348
Montgomery, AL 36124-1348
Phone (334) 288-7808

Other names 1

  • Holli Hinote Former name

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
I20151120001498 AL Practitioner - Nurse Practitioner 6800196981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

847 W Bypass
Suite a
Andalusia, AL 36420-4747
Phone (334) 428-2273

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
OS7143FLMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andalusia Physician Practices LLC CurrentSince Oct 18, 2021 Accepting new patients
Andalusia Physician Practices LLC CurrentSince Oct 18, 2021 Accepting new patients
Andalusia Physician Practices LLC Current Accepting new patients
Andalusia Physician Practices LLC Past Accepting new patients

Locations

301 Medical Ave
Ste C
Andalusia, AL 36420
Phone (334) 222-1211

847 W Bypass
Ste A
Andalusia, AL 36420
Phone (334) 222-1366

Interoperability endpoints

  • Direct secure messaging: holli.johnson.1@19364.direct.athenahealth.com
  • Direct secure messaging: holli.johnson@center4pain.gwaydirect.com
  • FHIR API: https://api.platform.athenahealth.com/19364/brand/1/csg/21/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1184092488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241348",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361241348",
            "telephone_number": "334-288-7808",
            "fax_number": "334-387-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 MCQUEEN SMITH RD N",
            "address_2": "STE E",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667554",
            "telephone_number": "334-288-7808",
            "fax_number": "334-387-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HOLLI",
        "middle_name": "HINOTE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-119421",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "OS7143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLI",
            "last_name": "HINOTE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prattville, AL

Sources for this page

Verify at the official NPI Registry.