Active NPI
Andrea Holland, RN
- Attendant Care Provider
- Seagrove, NC
National Provider Identifier
1407492473
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Mar 20, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- License
- 225680
- Practice address
- 487 King Rd
Seagrove, NC 27341-9536 - Phone
- (843) 353-9953
- NPI assigned
- Nov 25, 2019
- Last updated
- Oct 25, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | 225680 | NC | Primary |
Addresses
Primary practice location
487 King Rd
Seagrove, NC 27341-9536
Mailing address
487 King Rd
Seagrove, NC 27341-9536
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225680 | NC | MD | Attendant Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792886400000",
"number": "1407492473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "487 KING RD",
"city": "SEAGROVE",
"state": "NC",
"postal_code": "273419536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "487 KING RD",
"city": "SEAGROVE",
"state": "NC",
"postal_code": "273419536",
"telephone_number": "843-353-9953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "ANDREA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-25",
"last_updated": "2026-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "NC",
"license": "225680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seagrove, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.