Kerri Holloway, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R199383 Issued in MD

Practice address

314 W Carroll St
Salisbury, MD 21801-5409

Phone

(410) 546-0464

NPI assigned

Jan 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DE2 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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peninsula Plastic Surgery P CGroup PAC ID 2769469097, shared by 2 NPIs, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Peninsula Plastic Surgery P.C.

  • Plastic Surgery Physician
  • Salisbury, MD
  • NPI 1598710485
  Medicare reassignment NPD
• Peninsula Plastic Surgery P C

  • Plastic and Reconstructive Surgery Physician
  • Millsboro, DE
  • NPI 1396926242
  Medicare reassignment NPD
• Peninsula Plastic Surgery, P.C.

  • Specialist
  • Berlin, MD
  • NPI 1396228995
  NPD
• The Center for Aesthetic Surgery LLC

  • Ambulatory Surgical Clinic/Center
  • Salisbury, MD
  • NPI 1487609335
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tidalhealth Peninsula Regional, Inc.

  • General Acute Care Hospital
  • Salisbury, MD
  • NPI 1780689463
  Care Compare affiliation

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1295272185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015409",
            "telephone_number": "410-546-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015409",
            "telephone_number": "410-546-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "KERRI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R199383",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0001017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollaway Eye Associates Inc
• Joseph Clark Hollaway, O.D.
• Kristina Hollaway
• Marie Holley, CRNP-FAMILY
• Kayla Ann Holliday, COTA
• Holly Center
• Katherine Hubbard Holt
• Patrick Andrew Holt, M.D., PH.D.
• Homecoming Speech & Wellness
• Homecoming Speech & Wellness, LLC

• Family Nurse Practitioner in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.

Verify at the official NPI Registry.