Individual provider Active NPI

Hollie McNees, CRDH

  • Dental Hygienist
  • Casselberry, FL
National Provider Identifier
1528633021
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH19878 Issued in FL
Practice address
1120 State Road 436 Ste 1800
Casselberry, FL 32707-6182
Phone
(407) 322-8645
NPI assigned
May 26, 2021
Last updated
May 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH19878 FL Primary

Addresses

Primary practice location

1120 State Road 436 Ste 1800
Casselberry, FL 32707-6182

Mailing address

1120 State Road 436 Ste 1800
Casselberry, FL 32707-6182
Phone (407) 322-8645

Other identifiers 1

IdentifierTypeStateIssuer
59-1741286MedicaidFL

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
DH19878FLMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Family Health Center, Inc. PastSince Jun 22, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1528633021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 STATE ROAD 436 STE 1800",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327076182",
            "telephone_number": "407-322-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 STATE ROAD 436 STE 1800",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327076182",
            "telephone_number": "407-322-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEES",
        "first_name": "HOLLIE",
        "name_prefix": "Miss",
        "credential": "CRDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH19878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59-1741286",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.