Mitzi Nicole Holloway

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

189716 Issued in TX

Practice address

36065 Santa Fe Ave
Fort Hood, TX 76544-1887

Phone

(254) 553-5933

Fax

(254) 680-4387

NPI assigned

Feb 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mitzi N Barker-Holloway Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1245823095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E CENTRAL TEXAS EXPY STE 200",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36065 SANTA FE AVE",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765441887",
            "telephone_number": "254-553-5933",
            "fax_number": "254-680-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "MITZI",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "189716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MITZI",
            "last_name": "BARKER-HOLLOWAY",
            "middle_name": "N",
            "credential": "LVN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lawanda Hobbs, LVN
• Vaneesh Ladawn Hofler, PAC
• Andrew Hogue
• Emily B Holcomb, PHARMD
• Evangeline Holloway-Carter, LCSW
• Gary Paul Holmes, M.D.
• Ronald Leon Holmes Jr., PHYSICIAN ASSISTANT
• Vivian Victoria Holt, DVM
• Walter Holtgrefe
• Qiana Hood

• Licensed Vocational Nurse in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.