Active NPI
Mica Kristin Holloway, FNP-C
- Nurse Practitioner
- Mooreland, OK
National Provider Identifier
1700442886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 106039
- Practice address
- 607 S. Elm St.
Mooreland, OK 73852 - Phone
- (580) 440-0311
- NPI assigned
- May 14, 2019
- Last updated
- Jul 13, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 106039 | OK | Primary |
Addresses
Primary practice location
607 S. Elm St.
Mooreland, OK 73852
Mailing address
607 S. Elm St.
Mooreland, OK 73852
Phone (580) 440-0311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2025 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1700442886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 S. ELM ST.",
"city": "MOORELAND",
"state": "OK",
"postal_code": "73852",
"telephone_number": "580-440-0311",
"fax_number": "405-888-8744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 S. ELM ST.",
"city": "MOORELAND",
"state": "OK",
"postal_code": "73852",
"telephone_number": "580-440-0311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOWAY",
"first_name": "MICA",
"middle_name": "KRISTIN",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-14",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "106039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mooreland, OK
- Lacey Ann Duffy, APRN
- Elite Healthcare Clinic LLC
- Linda Kay Hardin
- Robert Harris
- John Douglas Harrison
- House of Grace Nursing Facility, L.L.C.
- Integris Health Woodward Hospital Inc (Integris Health Medical Group)
- Lightning Creek Investment Group Inc (Mooreland Heritage Manor)
- Jessica Nichole Martin
- Newman Memorial Hospital, Inc (Newman Healthcare Associates Mooreland)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.