Active NPI
Doris Holloway, CERTIFIED NURSE AIDE
- Home Health Agency
- Drewryville, VA
National Provider Identifier
1639783483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 23110 Drewry Rd
Drewryville, VA 23844-2073 - Phone
- (757) 915-5192
- NPI assigned
- Aug 31, 2020
- Last updated
- Oct 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1401090590 | VA | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exceptional Home Care | Home Health Aide | Current | 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.
-
- Home Health Aide
- Drewryville, VA
- NPI 1750065959
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.