Patrice Renae Holliday

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

2903003575 Issued in MI

Practice address

15874 Robson St
Detroit, MI 48227-2643

Phone

(313) 622-2119

NPI assigned

Dec 19, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1376311357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15874 ROBSON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482272643",
            "telephone_number": "313-622-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15874 ROBSON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482272643",
            "telephone_number": "313-622-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "PATRICE",
        "middle_name": "RENAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "MI",
            "license": "2903003575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Hollaway
• Andrew Nicholas Hollenbeck, M.D.
• Oshnique Holley, LPN
• Sheryl Holley
• Tiffani Holley
• Yolanda Holliday, LPN, CMT, CCM, CNA
• Krystle Charon-Woods Hollier, PH.D.
• Derrick Hollingsworth, MA
• Dorrian Hollingsworth, FNP
• Steven Hollingsworth

• Dental Assistant in Detroit, MI
• Providers in Detroit, MI by specialty
• Dental Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.