Organization Active NPI

Holisticare of Delaware LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Smyrna, DE
National Provider Identifier
1326898248
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HOLISTICARE OF DELAWARE LLC
Doing business as
Holisticare of Delaware LLC
Practice address
74 E Glenwood Ave Ste 295
Smyrna, DE 19977-1002
Phone
(833) 534-1213
Fax
(302) 469-2792
NPI assigned
Mar 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Dawn Ploucher, PMHNP-BCNPI 1316668049
Title
Psychiatric Nurse Practitioner
Phone
(833) 534-1213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

74 E Glenwood Ave Ste 295
Smyrna, DE 19977-1002

Mailing address

74 E Glenwood Ave Ste 295
Smyrna, DE 19977-1002
Phone (833) 534-1213

Other practice location 1

401 15th St Unit 11
Ocean City, MD 21842-5526
Phone (302) 513-1913

Other names 1

  • Holisticare of Delaware LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241024004489 DE Part B Supplier - Clinic/Group Practice 2466998984 Receives reassigned benefits from 1 practitioner
Practice locations: Smyrna, DE
O20251203000172 MD Part B Supplier - Clinic/Group Practice 2466998984 Receives reassigned benefits from 1 practitioner
Practice locations: Ocean City, MD

National Provider Directory

National Provider Directory

Locations

74 E Glenwood Ave
#295
Smyrna, DE 19977
Phone (302) 513-1913

74 E Glenwood Ave
Ste 295
Smyrna, DE 19977
Phone (833) 534-1213

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1326898248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 E GLENWOOD AVE STE 295",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771002",
            "telephone_number": "833-534-1213",
            "fax_number": "302-469-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 E GLENWOOD AVE STE 295",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771002",
            "telephone_number": "833-534-1213",
            "fax_number": "302-469-2792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 15th St Unit 11",
            "address_purpose": "LOCATION",
            "city": "Ocean City",
            "state": "MD",
            "postal_code": "218425526",
            "country_code": "US",
            "telephone_number": "302-513-1913",
            "fax_number": "302-469-2792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLISTICARE OF DELAWARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "PLOUCHER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "833-534-1213",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holisticare of Delaware LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smyrna, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.