Holly Angelina Spinks, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN9422674 Issued in FL

Practice address

531 Azure Rd
Venice, FL 34293-7861

Phone

(302) 312-6332

NPI assigned

Jan 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1558022152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 AZURE RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342937861",
            "telephone_number": "302-312-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 AZURE RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342937861",
            "telephone_number": "302-312-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINKS",
        "first_name": "HOLLY",
        "middle_name": "ANGELINA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "RN9422674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://healthcare.googleapis.com/v1/projects/jasper-health/locations/us/datasets/Jasper-Health/fhirStores/Direct2Consumer/fhir",
            "affiliation": "N",
            "endpointDescription": "Jasper's FHIR Server",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "85 5th Ave Fl 8",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100033019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• General Practice Registered Nurse in Venice, FL
• Providers in Venice, FL by specialty
• General Practice Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.