Active NPI
Michele Ashley Holloway, BA, LMT
- Contractor
- Deland, FL
National Provider Identifier
1346528338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- MA#37351
- Practice address
- 929 N Spring Garden Ave
Suite 163
Deland, FL 32720-0900 - Phone
- (386) 216-3491
- NPI assigned
- Jul 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | MA#37351 | FL | Primary |
Addresses
Primary practice location
929 N Spring Garden Ave
Suite 163
Deland, FL 32720-0900
Mailing address
929 N Spring Garden Ave
Suite 163
Deland, FL 32720-0900
Phone (386) 216-3491
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA#37351 | FL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311638400000",
"number": "1346528338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 N SPRING GARDEN AVE",
"address_2": "SUITE 163",
"city": "DELAND",
"state": "FL",
"postal_code": "327200900",
"telephone_number": "386-216-3491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 N SPRING GARDEN AVE",
"address_2": "SUITE 163",
"city": "DELAND",
"state": "FL",
"postal_code": "327200900",
"telephone_number": "386-216-3491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOWAY",
"first_name": "MICHELE",
"middle_name": "ASHLEY",
"credential": "BA, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-26",
"last_updated": "2011-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "FL",
"license": "MA#37351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.