Individual provider Active NPI

Christine Michele Holloway

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1508385840
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
308092 Issued in NY
Practice address
75 Maiden LN RM 1206
New York, NY 10038-5162
Phone
(212) 995-6495
Fax
(212) 379-6486
NPI assigned
Sep 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 308092 NY Primary

Addresses

Primary practice location

75 Maiden LN RM 1206
New York, NY 10038-5162

Mailing address

60 78TH St
Brooklyn, NY 11209-2912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260302000171 NY Practitioner - Nurse Practitioner 9335621275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Comprehensive Pain Management and Spine Care PLLCGroup PAC ID 0941539183, 2 clinicians

Practice addresses (Care Compare)

75 Maiden LN
RM 1206
New York, NY 10038-5162
Phone (212) 995-6495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
308092NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Pain Management and Spine Care, PLLC CurrentSince Feb 12, 2026 Accepting new patients
Comprehensive Pain Management-Anesthesia Services, P.C. CurrentSince Feb 12, 2026 Accepting new patients

Locations

75 Maiden Ln
Rm 1206
New York, NY 10038
Phone (212) 995-6495

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/77186
  • FHIR API: https://fhir4.healow.com/fhir/r4/BHHDBA

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": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1508385840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 78TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MAIDEN LN RM 1206",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100385162",
            "telephone_number": "212-995-6495",
            "fax_number": "212-379-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "CHRISTINE",
        "middle_name": "MICHELE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.