Individual provider Active NPI

Shana Savita Holiday, RN, MSN, CDCES

  • Registered Nurse
  • McMinnville, TN
National Provider Identifier
1528540960
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
253021 Issued in TN
Practice address
951 Isha LN
McMinnville, TN 37110-8627
Phone
(619) 602-7286
NPI assigned
Sep 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 253021 TN
Community Health Registered Nurse 163WC1500X 253021 TN
Diabetes Educator Registered Nurse 163WD0400X 253021 TN
Nutrition Support Registered Nurse 163WN1003X 253021 TN
Health & Wellness Coach 171400000X 253021 TN
Health Educator 174H00000X 253021 TN
Registered Nurse 163W00000X 253021 TN Primary

Addresses

Primary practice location

951 Isha LN
McMinnville, TN 37110-8627

Mailing address

951 Isha LN
McMinnville, TN 37110-8627
Phone (619) 602-7286

Other names 1

  • Miss Shana Savita Graves Former name

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
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
253021TNMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1535760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1528540960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 ISHA LN",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371108627",
            "telephone_number": "619-602-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 ISHA LN",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371108627",
            "telephone_number": "619-602-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLIDAY",
        "first_name": "SHANA",
        "middle_name": "SAVITA",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-01",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TN",
            "license": "253021",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TN",
            "license": "253021",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "TN",
            "license": "253021",
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "TN",
            "license": "253021",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "TN",
            "license": "253021",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "TN",
            "license": "253021",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "253021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANA",
            "last_name": "GRAVES",
            "middle_name": "SAVITA",
            "prefix": "MISS",
            "credential": "RN, BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McMinnville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.