Jvona P Holiday

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

715101 Issued in TX

Practice address

1408 Dusky Thrush St
Desoto, TX 75115-7656

Phone

(214) 783-0438

Fax

(469) 533-5899

NPI assigned

Jan 21, 2022

Last updated

Jan 21, 2022By the provider in NPPES

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

State licenses

Practice roles

Locations

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.

• D-Trio Management LLC

  • Home Health Agency
  • Desoto, TX
  • NPI 1760133482
  NPD Authorized official

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1598417545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E PARKERVILLE RD STE A8",
            "address_2": "#1011",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751156420",
            "telephone_number": "469-607-9949",
            "fax_number": "469-533-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 DUSKY THRUSH ST",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751157656",
            "telephone_number": "214-783-0438",
            "fax_number": "469-533-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLIDAY",
        "first_name": "JVONA",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "715101",
            "primary": true
        },
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "TX",
            "license": "715101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Hill
• Richard B Hill, MD
• Roshunda Hill, OTR/L
• Tameka Joyce Hill
• Ashley Hogan
• Felicia Jacquil Holloway, PHD, LPC-S, LMFT-S
• Home Care Network South, Inc (Home Care Network)
• Home Helpers & Direct Link 58813
• Homerica Home Health
• Gayoun Hong, FNP-BC, APRN

• Registered Nurse in Desoto, TX
• Providers in Desoto, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.