Organization Active NPI

Janet Holley, CRNP PC

  • Family Nurse Practitioner
  • Haleyville, AL
National Provider Identifier
1598079600
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-069794 Issued in AL
Legal business name
JANET HOLLEY, CRNP PC
Practice address
42030 Highway 195
Suite D
Haleyville, AL 35565-7054
Phone
(205) 486-2743
Fax
(205) 486-4343
NPI assigned
Jul 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Authorized official

Name
Janet L Holley, CRNP
Title
Manager
Phone
(205) 486-2743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1-069794 AL Primary

Addresses

Primary practice location

42030 Highway 195
Suite D
Haleyville, AL 35565-7054

Mailing address

42030 Highway 195 Ste D
P O Box 970
Haleyville, AL 35565-7054
Phone (205) 486-2743

Other identifiers 2

IdentifierTypeStateIssuer
P00431210OtherALRR MEDICARE
891017150MedicaidAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1598079600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42030 HIGHWAY 195 STE D",
            "address_2": "P O BOX 970",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355657054",
            "telephone_number": "205-486-2743",
            "fax_number": "205-486-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42030 HIGHWAY 195",
            "address_2": "SUITE D",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355657054",
            "telephone_number": "205-486-2743",
            "fax_number": "205-486-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANET HOLLEY, CRNP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "205-486-2743",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-069794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00431210",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891017150",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haleyville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.