Individual provider Active NPI

Rebecca Hails Holtsford, MSN, CRNP, FNP-C

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1205584893
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-144192 Issued in AL
Practice address
2060 Berryhill Rd
Montgomery, AL 36117-3599
Phone
(334) 676-3366
NPI assigned
Mar 14, 2022
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 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 1-144192 AL Primary

Addresses

Primary practice location

2060 Berryhill Rd
Montgomery, AL 36117-3599

Mailing address

2060 Berryhill Rd
Montgomery, AL 36117-3599
Phone (334) 676-3366

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
I20260323003818 AL Practitioner - Nurse Practitioner 2769960574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Region Dermatology and Laser IncGroup PAC ID 3678867736, 3 clinicians

Practice addresses (Care Compare)

2060 Berryhill Rd
Montgomery, AL 36117-3599
Phone (334) 676-3366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1-144192ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Outreach Ministries CurrentSince Feb 4, 2024 Accepting new patients
River Region Dermatology and Laser Inc CurrentSince Nov 30, 2025 Accepting new patients
Medical Outreach Ministries CurrentSince Feb 4, 2024 Accepting new patients

Locations

2060 Berryhill Rd
Montgomery, AL 36117
Phone (334) 416-8996

5741 Carmichael Pkwy
Montgomery, AL 36117
Phone (334) 277-3492

Organizations & group practices 3

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": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1205584893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 BERRYHILL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173599",
            "telephone_number": "334-676-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 BERRYHILL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173599",
            "telephone_number": "334-676-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTSFORD",
        "first_name": "REBECCA",
        "middle_name": "HAILS",
        "credential": "MSN, CRNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-144192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.