Individual provider Active NPI

Barbara V Holdren, C.R.N.P.

  • Family Nurse Practitioner
  • Meadowbrook, PA
National Provider Identifier
1417019985
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
UP002256C Issued in PA
Practice address
1650 Huntingdon Pike
Suite 156
Meadowbrook, PA 19046-8004
Phone
(215) 947-7924
Fax
(215) 947-0187
NPI assigned
Dec 14, 2006
Last updated
Oct 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X UP002256C PA Primary

Addresses

Primary practice location

1650 Huntingdon Pike
Suite 156
Meadowbrook, PA 19046-8004

Mailing address

1650 Huntingdon Pike
Suite 156
Meadowbrook, PA 19046-8004
Phone (215) 947-7924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120416000327 PA Practitioner - Nurse Practitioner 8921269119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Perelman School of Med at the University of Pennsylvania, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery County Medical Associates, LTD.Group PAC ID 0648254458, 7 clinicians

Practice addresses (Care Compare)

1650 Huntingdon Pike
Meadowbrook, PA 19046-8003

8014 Burholme Ave
Philadelphia, PA 19111-1801
Phone (215) 745-4500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
UP002256CPAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Medical Associates, LTD. CurrentSince Mar 25, 1997 Accepting new patients

Locations

1650 Huntingdon Pike
Ste 156
Meadowbrook, PA 19046
Phone (215) 745-3580

8014 Burholme Ave
Philadelphia, PA 19111
Phone (215) 745-4500

Interoperability endpoints

  • Direct secure messaging: barbara.holdren@mcma.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIDBBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1417019985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE",
            "address_2": "SUITE 156",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468004",
            "telephone_number": "215-947-7924",
            "fax_number": "215-947-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE",
            "address_2": "SUITE 156",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468004",
            "telephone_number": "215-947-7924",
            "fax_number": "215-947-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDREN",
        "first_name": "BARBARA",
        "middle_name": "V",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "UP002256C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadowbrook, PA

Sources for this page

Verify at the official NPI Registry.