Active NPI
John Holley, R.N
- Orthopedic Registered Nurse
- Allentown, PA
National Provider Identifier
1295733277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Registered Nurse
- License
- RN236229L
- Practice address
- 1250 S Cedar Crest Blvd
Suite 110
Allentown, PA 18103-6224 - Phone
- (610) 435-1003
- Fax
- (610) 435-3184
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Registered Nurse | 163WX0800X | RN236229L | PA | Primary |
Addresses
Primary practice location
1250 S Cedar Crest Blvd
Suite 110
Allentown, PA 18103-6224
Mailing address
1250 S Cedar Crest Blvd
Suite 110
Allentown, PA 18103-6224
Phone (610) 435-1003
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN236229L | PA | MD | Orthopedic Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1295733277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 S CEDAR CREST BLVD",
"address_2": "SUITE 110",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036224",
"telephone_number": "610-435-1003",
"fax_number": "610-435-3184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 S CEDAR CREST BLVD",
"address_2": "SUITE 110",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036224",
"telephone_number": "610-435-1003",
"fax_number": "610-435-3184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLEY",
"first_name": "JOHN",
"credential": "R.N",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0800X",
"taxonomy_group": "",
"desc": "Registered Nurse, Orthopedic",
"state": "PA",
"license": "RN236229L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.