Individual provider Active NPI

Brenda J Holroyd, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Gillette, WY
National Provider Identifier
1639375678
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1580 Issued in WY
Practice address
400 S Miller Ave
Gillette, WY 82716-3936
Phone
(307) 363-5930
Fax
(888) 720-0569
NPI assigned
Jun 26, 2007
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 231322 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN256189 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1580 WY Primary
Registered Nurse 163W00000X 256189 MA
Registered Nurse 163W00000X 231322 AZ
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 388521580 WY

Addresses

Primary practice location

400 S Miller Ave
Gillette, WY 82716-3936

Mailing address

400 S Miller Ave
Gillette, WY 82716-3936

Other practice location 1

1846 E Innovation Park Dr Ste 100
Oro Valley, AZ 85755-1963
Phone (307) 363-5930

Other practice location 2

43 S Waverly St
Brighton, MA 02135-1431
Phone (307) 363-5930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, WY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070830000440 MA Practitioner - Nurse Practitioner 8224121637 Practice locations: Worcester, MA
I20170320001418 WY Practitioner - Nurse Practitioner 8224121637 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Solutions LLCGroup PAC ID 6709200207, 4 clinicians

Practice addresses (Care Compare)

400 S Miller Ave
Gillette, WY 82716-3936
Phone (307) 363-5930

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
231322AZMDRegistered Nurse
256189MAMDRegistered Nurse
388521580WYMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Solutions, LLC CurrentSince Aug 1, 2020 Accepting new patients
First Psychiatric Planners, Inc PastSince Dec 1, 2014 Accepting new patients
Greater Lowell Psychiatric Associates, LLC Psychiatric/Mental Health, Adult PastSince Jul 24, 2022 Accepting new patients
The Psychological Center, Inc. Past Accepting new patients
Bournewood Clinical Associates PastSince Jun 12, 1997 Accepting new patients

Locations

201 W Lakeway Rd
Ste 311
Gillette, WY 82718
Phone (307) 363-5930

400 S Miller Ave
Gillette, WY 82716
Phone (307) 363-5930

623 N Commercial Dr
Gillette, WY 82716
Phone (307) 363-5930

1124 Washington Blvd
Newcastle, WY 82701
Phone (307) 746-3715

219 W Main St
Newcastle, WY 82701
Phone (307) 363-5930

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1639375678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S MILLER AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MILLER AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163936",
            "telephone_number": "307-363-5930",
            "fax_number": "888-720-0569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1846 E Innovation Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oro Valley",
            "state": "AZ",
            "postal_code": "857551963",
            "country_code": "US",
            "telephone_number": "307-363-5930",
            "fax_number": "888-720-0569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43 S Waverly St",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021351431",
            "country_code": "US",
            "telephone_number": "307-363-5930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLROYD",
        "first_name": "BRENDA",
        "middle_name": "J",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "231322",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN256189",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WY",
            "license": "1580",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "256189",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "231322",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "WY",
            "license": "388521580",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.