Active NPI
Linda V Holly, LPN
- Licensed Practical Nurse
- Cleveland, OH
National Provider Identifier
1437132404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN103776
- Practice address
- 926 E 146TH St
Cleveland, OH 44110-3704 - Phone
- (216) 990-4834
- NPI assigned
- Nov 23, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN103776 | OH | Primary |
Addresses
Primary practice location
926 E 146TH St
Cleveland, OH 44110-3704
Mailing address
PO Box 10834
Cleveland, OH 44110-0834
Phone (216) 990-4834
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2263223 | Other | OH | ODJFS PROVIDER NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN103776 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1437132404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10834",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441100834",
"telephone_number": "216-990-4834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 E 146TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441103704",
"telephone_number": "216-990-4834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLY",
"first_name": "LINDA",
"middle_name": "V",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-23",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN103776",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ODJFS PROVIDER NUMBER",
"identifier": "2263223",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.