Individual provider Active NPI

Denise Michele Holloway, ARNP-BC

  • Adult Health Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1245492040
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9168291 Issued in FL
Practice address
1251 Hickory St
Melbourne, FL 32901-3221
Phone
(321) 434-3420
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 9168291 FL Primary

Addresses

Primary practice location

1251 Hickory St
Melbourne, FL 32901-3221

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (407) 833-7505

Other practice location 1

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-3420

Other identifiers 3

IdentifierTypeStateIssuer
M7087OtherFLMEDICARE HFPSI
MY783OtherFLMEDICARE HFMG
016275600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090605000537 FL Practitioner - Nurse Practitioner 1557411998 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians
Health First Physician Specialties IncGroup PAC ID 9537229646, 58 clinicians

Practice addresses (Care Compare)

1251 Hickory St
Melbourne, FL 32901-3221
Phone (321) 434-3420

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000

Hospital & facility affiliations

  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Palm Bay Hospital Hospital, Palm Bay, FL, CCN 100316
  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9168291FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Physician Specialties Inc CurrentSince Oct 19, 2020 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Feb 4, 2020 Accepting new patients
Health First Medical Group, LLC CurrentSince Oct 19, 2020 Accepting new patients
Inpatient Consultants of Florida, Inc Current Accepting new patients
Health First Medical Group, LLC CurrentSince Oct 19, 2020 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Feb 4, 2020 Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

1251 Hickory St
Melbourne, FL 32901
Phone (321) 434-3420

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

Interoperability endpoints

  • Direct secure messaging: dholloway23317@epicdirect.hf.org
  • Direct secure messaging: denise.holloway@hca4.eclinicaldirectplus.com

Organizations & group practices 6

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1245492040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "407-833-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 HICKORY ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013221",
            "telephone_number": "321-434-3420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-3420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "DENISE",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9168291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HFPSI",
            "identifier": "M7087",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HFMG",
            "identifier": "MY783",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016275600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.