Individual provider Active NPI

Audrey Mae Hollander, RN

  • Registered Nurse
  • Wesley Chapel, FL
National Provider Identifier
1336372200
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9334187 Issued in FL
Practice address
5501 Riva Ridge Dr
Wesley Chapel, FL 33544-6509
Phone
(813) 406-4933
NPI assigned
Aug 26, 2009
Last updated
Jul 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9334187 FL Primary

Addresses

Primary practice location

5501 Riva Ridge Dr
Wesley Chapel, FL 33544-6509

Mailing address

1954 Dairy Rd
W Melbourne, FL 32904-4045
Phone (321) 349-0456

Other names 1

  • Mrs. Audrey Mae Hollander Professional 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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9334187FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Optima Homecare/ Lab Services Past Accepting new patients
Economy Laboratory LLC Past Accepting new patients

Organizations & group practices 2

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": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1336372200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 DAIRY RD",
            "city": "W MELBOURNE",
            "state": "FL",
            "postal_code": "329044045",
            "telephone_number": "321-349-0456",
            "fax_number": "321-837-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 RIVA RIDGE DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446509",
            "telephone_number": "813-406-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLANDER",
        "first_name": "AUDREY",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-26",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9334187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "HOLLANDER",
            "middle_name": "MAE",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.