Carrie Jane Holloway

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2021-0094 Issued in NM

Practice address

18600 Wedge Parkway
Neil J. Redfield BLDG. a, Suite 104
Reno, NV 89511

Phone

(775) 784-4843

NPI assigned

Jul 20, 2020

Last updated

Sep 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, CA2 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

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edwards Bell MD PCGroup PAC ID 3971086158, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Lassen Medical Center Hospital, Susanville, CA, CCN 051320

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edwards Bell MD PC

  dba Reno Emergency Medical Associates

  • Emergency Medicine Physician
  • Sparks, NV
  • NPI 1740157098
  Medicare reassignment Care Compare group
• Shadow Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Las Vegas, NV
  • NPI 1184795874
  Medicare reassignment
• Sierra ER Department Physicians Medical Group Inc.

  • Emergency Medicine Physician
  • Susanville, CA
  • NPI 1033570247
  Medicare reassignment
• Eds-I Homansky Practices of Nevada PC

  • Emergency Medicine Physician
  • Sparks, NV
  • NPI 1073290516

  Physician Assistant

  NPD
• Eds-I Homansky Practices of Nevada PC

  • Emergency Medicine Physician
  • Reno, NV
  • NPI 1902408024

  Physician Assistant

  NPD
• Shadow Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Las Vegas, NV
  • NPI 1043030919

  Physician Assistant

  NPD
• Shadow Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Henderson, NV
  • NPI 1487496998
  NPD

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

• Banner Lassen Medical Center

  • Critical Access Hospital
  • Susanville, CA
  • NPI 1538197231
  Care Compare affiliation

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1295343887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W COUNTRY CLUB RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015209",
            "telephone_number": "575-622-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18600 WEDGE PARKWAY",
            "address_2": "NEIL J. REDFIELD BLDG. A, SUITE 104",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-784-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "CARRIE",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA64940",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2021-0094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollima
• Hollinger Chiropractic, Inc. (8 Dimensions Health Center)
• Brook Lynn Hollinger, O.M.D
• Russell Paul Hollinger, D.C.
• Nicholas Hollister
• Holly T. Ashley, MD, PLLC
• Susan Lynn Holly, PHARM.D.
• Johnathan Martin Hollyfield, MD
• John William Holm, MD
• Christine Holmes

• Physician Assistant in Reno, NV
• Providers in Reno, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.