Active NPI
Denise Michele Holloway, ARNP-BC
- Adult Health Nurse Practitioner
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 9168291
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M7087 | Other | FL | MEDICARE HFPSI |
| MY783 | Other | FL | MEDICARE HFMG |
| 016275600 | Medicaid | FL |
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
Enrollment records 1
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
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
- Palm Bay Hospital
- Parrish Medical Center
- Viera Hospital
- Cape Canaveral Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9168291 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health First Physician Specialties Inc | Current | Accepting new patients | |
| Inpatient Consultants of Florida Inc | Current | Accepting new patients | |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Inpatient Consultants of Florida, Inc | Current | Accepting new patients | |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Inpatient Consultants of Florida, Inc | Current | 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
- dholloway23317@epicdirect.hf.org
- 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.
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
-
- Orthopaedic Trauma Physician
- Melbourne, FL
- NPI 1336390020
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- Hospitalist Physician
- Tampa, FL
- NPI 1457511164
-
- Hospitalist Physician
- Clearwater, FL
- NPI 1811179831
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.