Individual provider Active NPI

Holly A Stanley, RN-BSN, D.C.

  • Chiropractor
  • Blacksburg, SC
National Provider Identifier
1326826744
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4922 Issued in SC
Practice address
225 Moss Crossing
Blacksburg, SC 29702
Phone
(864) 839-2776
NPI assigned
Sep 18, 2023
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4922 SC Primary

Addresses

Primary practice location

225 Moss Crossing
Blacksburg, SC 29702

Mailing address

3489 Reepsville Rd
Lincolnton, NC 28092
Phone (980) 254-7284

Other names 1

  • Mrs. Holly A Hardison Former name

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

State licenses

LicenseStateTypeSpecialty
4922SCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1326826744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3489 REEPSVILLE RD",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "28092",
            "telephone_number": "980-254-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MOSS CROSSING",
            "city": "BLACKSBURG",
            "state": "SC",
            "postal_code": "29702",
            "telephone_number": "864-839-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "HOLLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "RN-BSN, D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "HARDISON",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "RN-BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blacksburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.