Meda Lucy Holloway

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2020035582 Issued in MO

Practice address

15600 Woods Chapel Rd Ste a
Kansas City, MO 64139-1355

Phone

(816) 836-1096

Fax

(816) 521-4737

NPI assigned

Dec 29, 2020

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Affinity Care of Missouri LLC

  • Community Based Hospice Care Agency
  • Independence, MO
  • NPI 1053073171

  Family

  NPD

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1386231900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 NW 530TH RD",
            "city": "KINGSVILLE",
            "state": "MO",
            "postal_code": "640618118",
            "telephone_number": "816-392-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 WOODS CHAPEL RD STE A",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641391355",
            "telephone_number": "816-836-1096",
            "fax_number": "816-521-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "MEDA",
        "middle_name": "LUCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020035582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bartley Joe Hollifield
• Makenzie Nicole Hollingsworth, PHARM.D.
• Michael E Hollins II, OD
• Megan Leigh Holloran, PHARM.D
• Lesli Holloway, PTA
• Nancy P Holloway, CRNA
• Holly L. Ramaeker
• Christina Marie Holm, LPC
• Paula Michelle Holm, OTR, MS
• Bailey Adele Holman, CPNP-PC

• Family Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.

Verify at the official NPI Registry.