Individual provider Active NPI

Holly Watson Cullop, FNP-C

  • Family Nurse Practitioner
  • Boone, NC
National Provider Identifier
1417520115
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5014754 Issued in NC
Practice address
579 Greenway Rd Ste 200
Boone, NC 28607-5477
Phone
(828) 262-0100
NPI assigned
Jul 20, 2021
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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 5014754 NC Primary

Addresses

Primary practice location

579 Greenway Rd Ste 200
Boone, NC 28607-5477

Mailing address

342 Georges Gap Rd
Sugar Grove, NC 28679-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20211103000196 NC Practitioner - Nurse Practitioner 0840688321 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Medical Associates, Inc. CurrentSince Oct 19, 2021 Accepting new patients
Blue Ridge Pediatric & Adolescent Medicine, Inc Past Accepting new patients

Locations

211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

870 State Farm Rd
Ste 100
Boone, NC 28607
Phone (828) 264-5464

Interoperability endpoints

  • Direct secure messaging: hollywatson@arhs.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1417520115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 GEORGES GAP RD",
            "city": "SUGAR GROVE",
            "state": "NC",
            "postal_code": "286799001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 GREENWAY RD STE 200",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075477",
            "telephone_number": "828-262-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLOP",
        "first_name": "HOLLY",
        "middle_name": "WATSON",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.