Individual provider Active NPI

Renda Joy Holladay, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Georgetown, TX
National Provider Identifier
1235321696
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP115660 Issued in TX
Practice address
601 Quail Valley Dr
Georgetown, TX 78626-8051
Phone
(512) 887-3444
NPI assigned
Aug 9, 2007
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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 AP115660 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP115660 TX Primary

Addresses

Primary practice location

601 Quail Valley Dr
Georgetown, TX 78626-8051

Mailing address

601 Quail Valley Dr Ste 121
Georgetown, TX 78626-8051
Phone (512) 887-3444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100505000732 TX Practitioner - Nurse Practitioner 4486782893 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP115660TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children's Medical Group CurrentSince Jan 22, 2021 Accepting new patients
Dell Children's Medical Group Current Accepting new patients
Tri-County Clinical Current Accepting new patients
Bluebonnet Trails Community MHMR Center CurrentSince Aug 18, 2014 Accepting new patients
Tri-County Clinical CurrentSince May 1, 2022 Accepting new patients
Bluebonnet Trails Community MHMR Center CurrentSince Aug 18, 2014 Accepting new patients
Dell Children's Medical Group CurrentSince Jan 22, 2021 Accepting new patients
Restoring Hope Psychiatric Services Psychiatric/Mental Health Current Accepting new patients
Park Valley Pediatrics, P.L.L.C. PastSince May 1, 2020 Accepting new patients

Locations

1301 W 38th St
Ste 700
Austin, TX 78705
Phone (512) 324-3340

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

601 Quail Valley Dr
Georgetown, TX 78626
Phone (512) 843-3136

601 Quail Valley Dr
Ste 121
Georgetown, TX 78626

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374

16040 Park Valley Dr
Ste 227
Round Rock, TX 78681
Phone (512) 255-7337

Interoperability endpoints

  • Direct secure messaging: renda.holladay.2@8363.direct.athenahealth.com

Organizations & group practices 9

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": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1235321696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 QUAIL VALLEY DR STE 121",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786268051",
            "telephone_number": "512-887-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 QUAIL VALLEY DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786268051",
            "telephone_number": "512-887-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLADAY",
        "first_name": "RENDA",
        "middle_name": "JOY",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP115660",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP115660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.