NPIMap

Individual provider Active NPI

Holly A McCormick, APRN

  • Family Nurse Practitioner
  • Cadiz, KY
National Provider Identifier
1346291994
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3004005 Issued in KY
Practice address
249 Main St
Cadiz, KY 42211-9154
Phone
(270) 206-7114
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4005P KY
Family Nurse Practitioner 363LF0000X 3004005 KY Primary

Addresses

Primary practice location

249 Main St
Cadiz, KY 42211-9154

Mailing address

PO Box 1724
Cadiz, KY 42211
Phone (270) 522-0898

Other practice location 1

214 Main St
Cadiz, KY 42211
Phone (270) 522-0898

Other identifiers 1

IdentifierTypeStateIssuer
78010816MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040105000038 KY Practitioner - Nurse Practitioner 7416856992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundations Primary Care LLCGroup PAC ID 8022305598, 2 clinicians

Practice addresses (Care Compare)

249 Main St
Cadiz, KY 42211-9154
Phone (270) 206-7114

Hospital & facility affiliations

  • Caretenders Home health agency, Cadiz, KY, CCN 187159
  • Lifeline Home Health of Western Kentucky Home health agency, Hopkinsville, KY, CCN 187300
  • Trigg County Hospital Hospital, Cadiz, KY, CCN 181304
  • Jennie Stuart Medical Center Hospital, Hopkinsville, KY, CCN 180051
  • Murray-Calloway County Hospital Hospital, Murray, KY, CCN 180027
  • Vanderbilt University Medical Center Hospital, Nashville, TN, CCN 440039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3004005KYMDFamily Nurse Practitioner
4005PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations Primary Care LLC Family CurrentSince Aug 15, 2016 Accepting new patients
Don L Perkins, MD, Inc PastSince May 1, 2010 Accepting new patients

Locations

249 Main St
Cadiz, KY 42211
Phone (270) 206-7114

Interoperability endpoints

  • Direct secure messaging: holly.mccormick@tcpc.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1346291994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1724",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "42211",
            "telephone_number": "270-522-0898",
            "fax_number": "270-522-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 MAIN ST",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422119154",
            "telephone_number": "270-206-7114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Main St",
            "address_purpose": "LOCATION",
            "city": "Cadiz",
            "state": "KY",
            "postal_code": "42211",
            "country_code": "US",
            "telephone_number": "270-522-0898",
            "fax_number": "270-522-5636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "HOLLY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4005P",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3004005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78010816",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadiz, KY

Sources for this page

Verify at the official NPI Registry.