Courtney Dawn Holland, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

4704370371 Issued in MI

Practice address

905 N Oakland St
Saint Johns, MI 48879-1063

Phone

(810) 487-5571

NPI assigned

May 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1588413702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9674 E REMUS RD",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488588103",
            "telephone_number": "586-823-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N OAKLAND ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488791063",
            "telephone_number": "810-487-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "COURTNEY",
        "middle_name": "DAWN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MI",
            "license": "4704370371",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "4704370371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Havenwyck Hospital Inc
• Jennifer Kay Heslip
• Rodger Johnnie Hiatt II, LMSW
• Timothy Higgins, B.A., H.I.S.
• Jason Gregory Holder, TLLP
• Madison Jane Holliday-Ward
• Werner Hollstein, MD
• Gregory A Holzhei, D.O.
• Bradley R. Hoopingarner, M.D.
• Rebecca Houghton, RSW

• Home Health Registered Nurse in Saint Johns, MI
• Providers in Saint Johns, MI by specialty
• Home Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.