Stephanie McDearman Hollingsworth, R.D., L.D., CDE

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

ND10488 Issued in FL

Practice address

5051 Carpenter Creek Dr
Pensacola, FL 32503-2521

Phone

(850) 416-7262

Fax

(850) 416-7246

NPI assigned

Apr 3, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: stephanie.hollingsworth.1@9582.direct.athenahealth.com

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1184967697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-6063",
            "fax_number": "904-539-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 CARPENTER CREEK DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032521",
            "telephone_number": "850-416-7262",
            "fax_number": "850-416-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "STEPHANIE",
        "middle_name": "MCDEARMAN",
        "name_prefix": "Mrs.",
        "credential": "R.D., L.D., CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "FL",
            "license": "ND10488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Theresa Holler, LCSW
• Dennis L Holley, R.PH.
• Holli-Starr, Inc
• Matthew T Hollimon, PHD
• Jessica Hollingsworth, APRN
• Minoo H Hollis, MD
• John M Holm, SOCIAL WORKER
• Holman Clinic PA
• Brandi Holman, SLP
• Kathy A. Holmes-Branton, L.M.T.

• Pediatric Nutrition Registered Dietitian in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Pediatric Nutrition Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.