Angela S Holloman

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

129 Sand Pine Cir
Midway, FL 32343-4220

Phone

(850) 559-8460

NPI assigned

Jan 14, 2019

Last updated

Jan 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1609340678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 SAND PINE CIR",
            "city": "MIDWAY",
            "state": "FL",
            "postal_code": "323434220",
            "telephone_number": "850-559-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 SAND PINE CIR",
            "city": "MIDWAY",
            "state": "FL",
            "postal_code": "323434220",
            "telephone_number": "850-559-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOMAN",
        "first_name": "ANGELA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230537200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in Midway, FL
• Providers in Midway, FL by specialty
• Personal Care Attendant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.