Angelic Marie Holland, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

339746 Issued in NY

Practice address

1061 Joselson Ave
Bay Shore, NY 11706-2036

Phone

(631) 524-4339

NPI assigned

Jan 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1245991405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 JOSELSON AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062036",
            "telephone_number": "631-524-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 JOSELSON AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062036",
            "telephone_number": "631-524-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "ANGELIC",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "339746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaliesha K. Hinds Allen, MD
• Marlee Rachele Hirsch, MD
• Hispanic Counseling Center
• Krista Hoefling
• Paprika Rosemary Hofsommer, LMSW
• Tanya Holland
• Katie M Holmes, LCSW, PHD
• Khiana Holmes
• Caroline Grace Holochwost
• Glenn Holt

• Licensed Practical Nurse in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.