Individual provider Active NPI

Casey Sheehy-Holbrook

  • Licensed Practical Nurse
  • Olean, NY
National Provider Identifier
1558198002
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
326918 Issued in NY
Practice address
1351 Olean Portville Rd
Olean, NY 14760-9416
Phone
(716) 373-0057
Fax
(716) 373-7910
NPI assigned
Sep 18, 2024
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 326918 NY Primary

Addresses

Primary practice location

1351 Olean Portville Rd
Olean, NY 14760-9416

Mailing address

322 N 12TH St
Olean, NY 14760-2009
Phone (585) 596-9187

Other identifiers 2

IdentifierTypeStateIssuer
161039939MedicaidNY
161039939OtherNYALL OTHER INSURANCES

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cholbrook@casa-trinity.org

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
326918NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Casa-Trinity, Inc. PastSince Sep 23, 2024 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": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1558198002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 N 12TH ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602009",
            "telephone_number": "585-596-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 OLEAN PORTVILLE RD",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147609416",
            "telephone_number": "716-373-0057",
            "fax_number": "716-373-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHY-HOLBROOK",
        "first_name": "CASEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "326918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161039939",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER INSURANCES",
            "identifier": "161039939",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cholbrook@casa-trinity.org",
            "affiliation": "N",
            "endpointDescription": "Personal Email Address",
            "address_1": "1351 Olean Portville Rd",
            "city": "Olean",
            "state": "NY",
            "country_code": "US",
            "postal_code": "147609416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.