Active NPI
Andrea Mobley Holley
- Family Nurse Practitioner
- Mobile, AL
National Provider Identifier
1366901027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-064030
- Practice address
- 11 N Water St FL 10
Mobile, AL 36602-5010 - Phone
- (251) 341-2870
- Fax
- (855) 737-5542
- NPI assigned
- Mar 13, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-064030 | AL | Primary |
Addresses
Primary practice location
11 N Water St FL 10
Mobile, AL 36602-5010
Mailing address
333 Commerce St Ste 700
Nashville, TN 37201-1835
Phone (251) 341-2870
Other practice location 1
1155 Hillcrest Rd
Mobile, AL 36695-3921
Phone (251) 232-3420
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-064030 | AL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1366901027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 COMMERCE ST STE 700",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372011835",
"telephone_number": "251-341-2870",
"fax_number": "855-737-5542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 N WATER ST FL 10",
"city": "MOBILE",
"state": "AL",
"postal_code": "366025010",
"telephone_number": "251-341-2870",
"fax_number": "855-737-5542"
}
],
"practiceLocations": [
{
"address_1": "1155 Hillcrest Rd",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366953921",
"country_code": "US",
"telephone_number": "251-232-3420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLEY",
"first_name": "ANDREA",
"middle_name": "MOBLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-13",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-064030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.