Active NPI
Matthew Riley Holland, ATC
- Athletic Trainer
- Pulaski, TN
National Provider Identifier
1699141374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 5919
- Practice address
- 203 Village SQ
Pulaski, TN 38478-2929 - Phone
- (931) 424-5588
- Fax
- (931) 424-5590
- NPI assigned
- Aug 17, 2015
- Last updated
- Aug 17, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 5919 | TN | Primary |
Addresses
Primary practice location
203 Village SQ
Pulaski, TN 38478-2929
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-8930
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439769600000",
"number": "1699141374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-8930",
"fax_number": "423-285-6647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 VILLAGE SQ",
"city": "PULASKI",
"state": "TN",
"postal_code": "384782929",
"telephone_number": "931-424-5588",
"fax_number": "931-424-5590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "MATTHEW",
"middle_name": "RILEY",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-17",
"last_updated": "2015-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "5919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pulaski, TN
- Brittny Wheeler Hewitt, RN
- Hillside Hospital LLC (Southern Tennessee Regional Health System Pulaski - psychiatric unit)
- Hillside Hospital LLC (Southern Tennessee Regional Health System Pulaski - swing bed unit)
- Hillside Hospital LLC (Southern Tennessee Regional Health System Pulaski)
- Callyn Grace Hobbs
- Selina Grace Holley, APRN, FNP-C
- Christina Holt, FNP
- Allen Honig, MD
- Stephanie Gwen Howell, PTA
- Grace Ann Humphries, COTA/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.