Active NPI
Joan Ann Holdsworth, RN ANPC
- Adult Health Nurse Practitioner
- Northport, NY
National Provider Identifier
1548360266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 302107
- Practice address
- 78 Middleville Road
118
Northport, NY 11768 - Phone
- (631) 261-4400
- Fax
- (631) 266-6040
- NPI assigned
- Sep 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 222506 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 302107 | NY | Primary |
Addresses
Primary practice location
78 Middleville Road
118
Northport, NY 11768
Mailing address
3365 Bunker Avenue
Wantagh, NY 11793
Phone (516) 221-0942
Other names 1
- Miss Joan Ann Campbell
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222506 | NY | MD | Registered Nurse |
| 302107 | NY | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1548360266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3365 BUNKER AVENUE",
"city": "WANTAGH",
"state": "NY",
"postal_code": "11793",
"telephone_number": "516-221-0942",
"fax_number": "631-266-6040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 MIDDLEVILLE ROAD",
"address_2": "118",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "11768",
"telephone_number": "631-261-4400",
"fax_number": "631-266-6040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDSWORTH",
"first_name": "JOAN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RN ANPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "222506",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "302107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOAN",
"last_name": "CAMPBELL",
"middle_name": "ANN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.