Active NPI
Aubrey Rickard Holladay, NP
- Psychiatric/Mental Health Nurse Practitioner
- Sumter, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26682
- Practice address
- 3180 Broad St
Sumter, SC 29150-1811 - Phone
- (803) 971-4210
- NPI assigned
- Oct 10, 2022
- Last updated
- Nov 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26682 | SC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26682 | SC | Primary |
Addresses
Primary practice location
3180 Broad St
Sumter, SC 29150-1811
Mailing address
2565 Carriage Dr
Sumter, SC 29154-7150
Phone (803) 468-0712
Other names 1
- Miss Aubrey Elizabeth Rickard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26682 | SC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Current | Accepting new patients | |
| CH Specialty Services SC LLC | Nurse Practitioner | Current | Accepting new patients |
| Curana Health of South Carolina PC | Current | Accepting new patients | |
| Sumter Behavioral Health LLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Musc Community Physicians | Current | Accepting new patients | |
| Sumter Behavioral Health LLC | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients |
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (505) 340-5555
2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750
4000 Faber Place Dr
Ste 300
North Charleston, SC 29405
Phone (704) 956-3062
6650 Rivers Ave
North Charleston, SC 29406
Phone (843) 260-5361
3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200
255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005
3180 Broad St
Sumter, SC 29150
Phone (803) 971-4210
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- aholladay542216@direct.musc.edu
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 8
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.
-
dba MUSC Community Physicians Specialty
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Family Nurse Practitioner
- North Charleston, SC
- NPI 1275915522
-
- Internal Medicine Physician
- North Charleston, SC
- NPI 1316477896
-
dba Midlands Behavioral Health Hospital
- Psychiatry Physician
- Sumter, SC
- NPI 1699529776
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
Nurse Practitioner, SC
-
dba MUSC Health Primary Care - Bowman
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
dba MUSC Community Physicians PC
- Family Medicine Physician
- Bamberg, SC
- NPI 1992383145
-
dba Midlands Behavioral Health Hospital
- Psychiatric Hospital
- Sumter, SC
- NPI 1912621483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1629793872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2565 CARRIAGE DR",
"city": "SUMTER",
"state": "SC",
"postal_code": "291547150",
"telephone_number": "803-468-0712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3180 BROAD ST",
"city": "SUMTER",
"state": "SC",
"postal_code": "291501811",
"telephone_number": "803-971-4210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLADAY",
"first_name": "AUBREY",
"middle_name": "RICKARD",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-10",
"last_updated": "2024-11-05",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "26682",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SC",
"license": "26682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AUBREY",
"last_name": "RICKARD",
"middle_name": "ELIZABETH",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.