Individual provider Active NPI

Holly Meeker, NP

  • Nurse Practitioner
  • Dickson, TN
National Provider Identifier
1295778785
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8027 Issued in TN
Practice address
111 Hwy 70 E
Dickson, TN 37055-2080
Phone
(615) 446-0446
NPI assigned
Jun 13, 2006
Last updated
Nov 7, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8027 TN Primary

Addresses

Primary practice location

111 Hwy 70 E
Dickson, TN 37055-2080

Mailing address

PO Box 634760
Cincinnati, OH 45263-0001

Other identifiers 2

IdentifierTypeStateIssuer
4009457OtherTNBLUE CROSS BLUE SHIELD
4069022OtherTNBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060414000086 TN Practitioner - Nurse Practitioner 1052320389 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8027TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maury Regional Medical Group, Inc CurrentSince Jul 1, 2016 Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Maury Regional Hospital Marshall Medical Center CurrentSince Jul 1, 2016 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Sep 2, 2016 Accepting new patients
Emergency Medicine Services of TN, PC CurrentSince Apr 1, 2023 Accepting new patients
Southeastern Emergency Services of Memphis, P.C. Nurse Practitioner Past Accepting new patients
Cane Ridge Emergency Physicians LLC Past Accepting new patients

Locations

854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

1900 N Winston Rd
Ste 300
Knoxville, TN 37919
Phone (865) 271-6000

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000

103 Jv Mangubat Dr
Waynesboro, TN 38485
Phone (931) 722-3404

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1295778785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634760",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HWY 70 E",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552080",
            "telephone_number": "615-446-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEKER",
        "first_name": "HOLLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "8027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4009457",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4069022",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

Verify at the official NPI Registry.