Individual provider Active NPI

Doris Holloway, CERTIFIED NURSE AIDE

  • Home Health Agency
  • Drewryville, VA
National Provider Identifier
1639783483
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
23110 Drewry Rd
Drewryville, VA 23844-2073
Phone
(757) 915-5192
NPI assigned
Aug 31, 2020
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Home Health Agency 251E00000X 1401090590 VA
Home Health Aide 374U00000X NU
Home Health Aide 374U00000X VA
Nurse's Aide 376K00000X NU

Addresses

Primary practice location

23110 Drewry Rd
Drewryville, VA 23844-2073

Mailing address

23110 Drewry Rd
Drewryville, VA 23844-2073
Phone (757) 915-5192

Other practice location 1

23110 Drewry Rd
Drewryville, VA 23844-2073
Phone (757) 915-5192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1401090590VAMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Home Care Home Health Aide CurrentSince Jun 11, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1639783483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23110 DREWRY RD",
            "city": "DREWRYVILLE",
            "state": "VA",
            "postal_code": "238442073",
            "telephone_number": "757-915-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23110 DREWRY RD",
            "city": "DREWRYVILLE",
            "state": "VA",
            "postal_code": "238442073",
            "telephone_number": "757-915-5192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23110 Drewry Rd",
            "address_purpose": "LOCATION",
            "city": "Drewryville",
            "state": "VA",
            "postal_code": "238442073",
            "country_code": "US",
            "telephone_number": "757-915-5192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "DORIS",
        "credential": "CERTIFIED NURSE AIDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "1401090590",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drewryville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.