Individual provider Active NPI

Danielle A Holloway, NP

  • Family Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1265831994
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-76341 Issued in KS
Practice address
8501 W 95TH St
Overland Park, KS 66212-3220
Phone
(913) 323-8880
Fax
(913) 323-8881
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-76341 KS Primary
Nurse Practitioner 363L00000X 2014025538 MO

Addresses

Primary practice location

8501 W 95TH St
Overland Park, KS 66212-3220

Mailing address

1000 Carondelet Dr Ofc
Kansas City, MO 64114-4673
Phone (816) 943-5743

Other identifiers 1

IdentifierTypeStateIssuer
201218220AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141110000671 MO Practitioner - Nurse Practitioner 7911129820 Reassigns benefits to 1 organization
I20161205000374 KS Practitioner - Nurse Practitioner 7911129820 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11111 Nall Ave
Suite 103
Leawood, KS 66211-1625
Phone (913) 322-8859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-76341KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Primary Care PA CurrentSince May 25, 2021 Accepting new patients
Lily Wellness and Primary Care LLC Nurse Practitioner CurrentSince Jan 27, 2025 Accepting new patients
Orthopedic Health of Kansas City P.C. CurrentSince Sep 28, 2014 Accepting new patients
Houser Swierczek LLC Nurse Practitioner CurrentSince Mar 1, 2025 Accepting new patients
NTTR Medical LLC CurrentSince Mar 26, 2025 Accepting new patients
Saint Luke'S Neighborhood Clinics, LLC Past Accepting new patients

Locations

757 W Eisenhower Rd
#R
Lansing, KS 66043
Phone (913) 297-2299

11111 Nall Ave
Ste 104
Leawood, KS 66211

13600 W 110th Ter
Lenexa, KS 66215
Phone (913) 717-0071

11111 Nall Ave
Ste 103
Overland Park, KS 66211
Phone (913) 226-7332

1950 Diamond Pkwy
Ste 100
North Kansas City, MO 64116
Phone (816) 561-3003

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.

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1265831994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CARONDELET DR OFC",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144673",
            "telephone_number": "816-943-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 W 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123220",
            "telephone_number": "913-323-8880",
            "fax_number": "913-323-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "DANIELLE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-76341",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2014025538",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201218220A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.