Active NPI
Holly K Willyard, CNP
- Family Nurse Practitioner
- Lovington, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP00494
- Practice address
- 605 West Taylor
Lovington, NM 88260 - Phone
- (575) 739-0062
- Fax
- (575) 396-1454
- NPI assigned
- Mar 13, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R26153 | NM | |
| Family Nurse Practitioner | 363LF0000X | CNP00494 | NM | Primary |
Addresses
Primary practice location
605 West Taylor
Lovington, NM 88260
Mailing address
1600 North Main
Lovington, NM 88260-2830
Phone (575) 396-6611
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99177528 | Medicaid | NM | |
| 515063YNGG | Other | NM | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 N Main
Lovington, NM 88260-2813
1600 N Main Ave
Lovington, NM 88260-2813
Phone 57539666115303
Hospital & facility affiliations
- Nor-Lea Hospital District
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R26153 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nor-Lea Hospital District | Current | Accepting new patients | |
| Nor-Lea Hospital District | Current | Accepting new patients | |
| Nor-Lea Hospital District | Past | Accepting new patients | |
| Southeastern Plains Emergency Physicians, LLC | Past | Accepting new patients |
Locations
515 E Main St
Hobbs, NM 88240
Phone (575) 397-0560
1600 N Main Ave
Lovington, NM 88260
Phone (575) 396-6611
Interoperability endpoints
- hwillyard1266615@oc.providencedirect.org
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Lovington, NM
- NPI 1881630036
-
- Rural Health Clinic/Center
- Hobbs, NM
- NPI 1528002805
-
- Student Health Clinic/Center
- Lovington, NM
- NPI 1770666588
-
- Emergency Medicine Physician
- Lovington, NM
- NPI 1750621272
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Lovington, NM
- NPI 1881630036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502928000000",
"number": "1386777878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 NORTH MAIN",
"city": "LOVINGTON",
"state": "NM",
"postal_code": "882602830",
"telephone_number": "575-396-6611",
"fax_number": "575-396-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 WEST TAYLOR",
"city": "LOVINGTON",
"state": "NM",
"postal_code": "88260",
"telephone_number": "575-739-0062",
"fax_number": "575-396-1454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLYARD",
"first_name": "HOLLY",
"middle_name": "K",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2017-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "R26153",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "CNP00494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "99177528",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "515063YNGG",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lovington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.