Individual provider Active NPI

Anishia Davis Holman, LCSW

  • Clinical Social Worker
  • Hendersonville, TN
National Provider Identifier
1447893409
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7221 Issued in TN
Practice address
107 Imperial Blvd Ste 13
Hendersonville, TN 37075-3441
Phone
(270) 484-4272
NPI assigned
Oct 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10322 TN
Clinical Social Worker 1041C0700X 7221 TN Primary

Addresses

Primary practice location

107 Imperial Blvd Ste 13
Hendersonville, TN 37075-3441

Mailing address

107 Imperial Blvd Ste 13
Hendersonville, TN 37075-3441
Phone (270) 484-4272

Other practice location 1

100 Country Club Dr Ste 200
Hendersonville, TN 37075-4376
Phone (615) 348-5806

Other practice location 2

104 Redbud Dr
Hendersonville, TN 37075-3982
Phone (270) 484-4272

Other identifiers 1

IdentifierTypeStateIssuer
1447893409OtherN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Anishia.davis@gmail.com

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

LicenseStateTypeSpecialty
10322TNMDClinical Social Worker
7221TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Pathway Therapy, LLC Clinical CurrentSince Sep 5, 2021 Accepting new patients
Restore Life Behavioral Health Clinical CurrentSince Oct 1, 2019 Accepting new patients

Locations

100 Country Club Dr
Ste 200
Hendersonville, TN 37075
Phone (615) 423-1140

107 Imperial Blvd
Ste 13
Hendersonville, TN 37075
Phone (270) 484-4272

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1447893409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 IMPERIAL BLVD STE 13",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753441",
            "telephone_number": "270-484-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 IMPERIAL BLVD STE 13",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753441",
            "telephone_number": "270-484-4272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Country Club Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370754376",
            "country_code": "US",
            "telephone_number": "615-348-5806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Redbud Dr",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370753982",
            "country_code": "US",
            "telephone_number": "270-484-4272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "ANISHIA",
        "middle_name": "DAVIS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "10322",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "1447893409",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Anishia.davis@gmail.com",
            "affiliation": "N",
            "address_1": "100 Country Club Dr Ste 200",
            "city": "Hendersonville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370754376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.