Nicole Annette Holyfield

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

53 Riverside Dr
Fairmont, WV 26554-5764

Phone

(304) 844-2432

NPI assigned

Sep 7, 2023

Last updated

Sep 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1326824178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PROFESSIONAL PL FL 1",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263300258",
            "telephone_number": "304-848-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 RIVERSIDE DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265545764",
            "telephone_number": "304-844-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLYFIELD",
        "first_name": "NICOLE",
        "middle_name": "ANNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montanna Hoke
• Courtney Nycole Holder, MSW, LICSW
• James Holehouse, M.D.
• James Michael Holloway
• Crystal D Holmes
• Neda L Hood
• Melinda Alma Hooker
• Karen Fay Hooper
• Ronda Hopkins, RN
• Philip Henry Horner, MD

• Case Manager/Care Coordinator in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Case Manager/Care Coordinator in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.