Individual provider Active NPI

Taylor Brooke Holsten

  • Women's Health Nurse Practitioner
  • Roswell, GA
National Provider Identifier
1245959063
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN259086 Issued in GA
Practice address
1015 Mansell Rd
Roswell, GA 30076-1507
Phone
(770) 462-0313
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN259086 GA Primary

Addresses

Primary practice location

1015 Mansell Rd
Roswell, GA 30076-1507

Mailing address

317 Ayelsbury CT
Sugar Hill, GA 30518-7805
Phone (912) 230-6379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN259086GAMDWomen's Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: taylor.holsten.1@19519.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1245959063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 AYELSBURY CT",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305187805",
            "telephone_number": "912-230-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MANSELL RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761507",
            "telephone_number": "770-462-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSTEN",
        "first_name": "TAYLOR",
        "middle_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN259086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.