Active NPI
Patrice Marlene Holliday, FNP-C
- Family Nurse Practitioner
- Bradenton, FL
National Provider Identifier
1407288053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11013337
- Practice address
- 4401 Cortez Rd W
Bradenton, FL 34210-3142 - Phone
- (941) 357-5550
- Fax
- (941) 792-7152
- NPI assigned
- Aug 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN18610 | SC | |
| Family Nurse Practitioner | 363LF0000X | 9232802 | FL | |
| Family Nurse Practitioner | 363LF0000X | 2016035060 | MO | |
| Family Nurse Practitioner | 363LF0000X | APRN11013337 | FL | Primary |
Addresses
Primary practice location
4401 Cortez Rd W
Bradenton, FL 34210-3142
Mailing address
7611 25TH Ave W
Bradenton, FL 34209-5236
Phone (941) 376-1944
Other names 1
- Patrice Marlene Burnett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9232802 | FL | MD | Family Nurse Practitioner |
| APRN11013337 | FL | MD | Family Nurse Practitioner |
| APRN18610 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Medical Specialists LLC | Current | Accepting new patients | |
| Florida Medical Specialists, LLC | Current | Accepting new patients | |
| Florida Medical Specialists LLC | Current | Accepting new patients | |
| Best Value Healthcare LLC | Past | Accepting new patients | |
| Florida Medical Specialists LLC | Past | Accepting new patients |
Locations
4401 Cortez Rd W
Bradenton, FL 34210
Phone (941) 357-5550
3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1407288053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7611 25TH AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342095236",
"telephone_number": "941-376-1944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 CORTEZ RD W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342103142",
"telephone_number": "941-357-5550",
"fax_number": "941-792-7152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIDAY",
"first_name": "PATRICE",
"middle_name": "MARLENE",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-06",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "APRN18610",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9232802",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2016035060",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11013337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICE",
"last_name": "BURNETT",
"middle_name": "MARLENE",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.