Holly Howell Byrd, RN, APRN

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

11015630 Issued in FL

Practice address

4788 Hodges Blvd Ste B108
Jacksonville, FL 32224-7222

Phone

(662) 415-8170

NPI assigned

Feb 3, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatrica Health of Florida, LLC

  • Pediatric Adolescent Medicine Physician
  • Jacksonville, FL
  • NPI 1316385164
  NPD (past)
• West Point Optical Group

  • Optometrist
  • Ann Arbor, MI
  • NPI 1073983698
  NPD (past)

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1336770858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4788 HODGES BLVD STE B108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247222",
            "telephone_number": "662-415-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4788 HODGES BLVD STE B108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247222",
            "telephone_number": "662-415-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "HOLLY",
        "middle_name": "HOWELL",
        "name_prefix": "Mrs.",
        "credential": "RN, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "907283",
            "primary": false
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "FL",
            "license": "11015630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Cecilia Byrd, CNM
• Ashton Byrd, APRN
• Claire J Byrd, APRN,F.N.P.-C.
• Danita A Byrd, LMHC
• Dwayne Cedrick Byrd, MT ASCP
• Jessica Barrett Byrd, BCBA
• Joe Byrd
• Juliane Byrd, M.S. CCC/SLP
• Kerlicia Danielle Byrd
• Kimberly Michelle Byrd

• Pediatric Clinical Nurse Specialist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatric Clinical Nurse Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.