Active NPI
Cherell D Holladay, A.R.N.P.
- Family Nurse Practitioner
- Columbia, SC
National Provider Identifier
1376537738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3649
- Practice address
- 4310 Hard Scrabble Rd
Columbia, SC 29229-9423 - Phone
- (352) 217-2354
- NPI assigned
- Aug 31, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN091202 | AZ | |
| Adult Health Nurse Practitioner | 363LA2200X | ARNP 9194444 | FL | |
| Family Nurse Practitioner | 363LF0000X | 3649 | SC | Primary |
Addresses
Primary practice location
4310 Hard Scrabble Rd
Columbia, SC 29229-9423
Mailing address
4310 Hard Scrabble Rd
Columbia, SC 29229-9423
Phone (352) 217-2354
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 |
|---|---|---|---|
| RN091202 | AZ | MD | Nurse Practitioner |
| ARNP 9194444 | FL | MD | Adult Health Nurse Practitioner |
| 3649 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Take Care Health Services PA | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1689865818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236556800000",
"number": "1376537738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4310 HARD SCRABBLE RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292299423",
"telephone_number": "352-217-2354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4310 HARD SCRABBLE RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292299423",
"telephone_number": "352-217-2354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLADAY",
"first_name": "CHERELL",
"middle_name": "D",
"credential": "A.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2009-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "RN091202",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP 9194444",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "3649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.