Ginger Leann Holloway, APRN

Key facts

NPI

1487375622

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

212815 (AR)

Practice address

1233 W Poplar St
Rogers, AR 72756-4245

Phone

(479) 636-9235

Fax

(479) 751-2878

NPI assigned

Sep 6, 2022

Sex

Female

Sole proprietor

No

Organizations & group practices 3

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.

• St Francis House Nwa, Inc Federally Qualified Health Center (FQHC) · Springdale, AR · NPI 1821838996
  Medicare reassignment NPD AR
• St Francis House Nwa, Inc Federally Qualified Health Center (FQHC) · West Fork, AR · NPI 1336986785
  NPD
• St. Francis House Nwa, Inc. Federally Qualified Health Center (FQHC) · Rogers, AR · NPI 1710160098
  NPD

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Francis House Nwa, Inc. (67 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 6, 2022.

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1487375622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E EMMA AVE STE 300",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644469",
            "telephone_number": "479-751-7417",
            "fax_number": "479-721-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 W POPLAR ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564245",
            "telephone_number": "479-636-9235",
            "fax_number": "479-751-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "GINGER",
        "middle_name": "LEANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "212815",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "212815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

• Bradly Shane Holland, DO
• John Wilson Holland Jr., D.D.S.
• April Holliday, LAC
• Dane L Hollis, D.D.S.
• Caroline Elise Holloway, PT, DPT
• Megan Elizabeth Holmes
• Rodney Holmstrom
• Jessica Lynn Holsted, PT, DPT
• Cheyenne Holsten, LAMFT
• Linda Holtgrewe

All providers in Rogers, AR · Family Nurse Practitioner in Arkansas