Active NPI
Renda Joy Holladay, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Georgetown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP115660
- Practice address
- 601 Quail Valley Dr
Georgetown, TX 78626-8051 - Phone
- (512) 887-3444
- NPI assigned
- Aug 9, 2007
- Last updated
- Aug 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP115660 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dell Children's Medical Group | Current | Accepting new patients | |
| Dell Children's Medical Group | Current | Accepting new patients | |
| Tri-County Clinical | Current | Accepting new patients | |
| Bluebonnet Trails Community MHMR Center | Current | Accepting new patients | |
| Tri-County Clinical | Current | Accepting new patients | |
| Bluebonnet Trails Community MHMR Center | Current | Accepting new patients | |
| Dell Children's Medical Group | Current | Accepting new patients | |
| Restoring Hope Psychiatric Services | Psychiatric/Mental Health | Current | Accepting new patients |
| Park Valley Pediatrics, P.L.L.C. | Past | 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
- 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.
-
dba Bluebonnet Trails Community Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Round Rock, TX
- NPI 1730135864
-
- Pediatrics Physician
- Austin, TX
- NPI 1326072943
-
- Family Medicine Physician
- Luling, TX
- NPI 1336456227
-
- Psychiatric/Mental Health Nurse Practitioner
- Georgetown, TX
- NPI 1841023553
-
dba Bluebonnet Trails Community Services
- Rural Health Clinic/Center
- La Grange, TX
- NPI 1518536309
-
dba Dell Children's Medical Group Sleep Center
- Sleep Disorder Diagnostic Clinic/Center
- Austin, TX
- NPI 1124748249
-
- Pediatrics Physician
- Round Rock, TX
- NPI 1790103869
-
dba Seton Family of Doctors
- Cardiovascular Disease Physician
- Austin, TX
- NPI 1588971477
-
- Pediatrics Physician
- Round Rock, TX
- NPI 1033598123
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.