Kevaundra Holloway Tanner

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

1832 Kempsville Rd Ste 112
Virginia Beach, VA 23464-6861

Phone

(757) 470-4306

Fax

(757) 930-6333

NPI assigned

Sep 24, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southside Spectrum Pediatrics

  • Pediatrics Physician
  • Virginia Beach, VA
  • NPI 1013661917
  NPD

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1699648006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5526 CAMPUS DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627302",
            "telephone_number": "757-470-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 KEMPSVILLE RD STE 112",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646861",
            "telephone_number": "757-470-4306",
            "fax_number": "757-930-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY TANNER",
        "first_name": "KEVAUNDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Holliman
• Tambra Marie Hollingsworth, C.P.N.P
• Rihana Hollins, LMT
• Marcia Holloman-Land
• Jasmine Holloman
• Christina Eks Holloway, FNP
• Javon Holloway
• Keimishia Ternace Holloway, PMHNP-BC
• Samuel Kyle Holloway, PA
• Tasha J Holloway

• Health & Wellness Coach in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Health & Wellness Coach in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.