Active NPI
Janet Holley, CRNP PC
- Family Nurse Practitioner
- Haleyville, AL
National Provider Identifier
1598079600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-069794
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00431210 | Other | AL | RR MEDICARE |
| 891017150 | Medicaid | AL |
National Provider Directory
National Provider DirectoryNPI 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.