Active NPI
Holly Anne Nied, LPN
- Licensed Practical Nurse
- Monroe, MI
National Provider Identifier
1700924339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN-093612
- Practice address
- 1710 Hendricks Dr
Monroe, MI 48162-5121 - Phone
- (734) 240-0608
- Fax
- (734) 240-0608
- NPI assigned
- Feb 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN-093612 | OH | Primary |
Addresses
Primary practice location
1710 Hendricks Dr
Monroe, MI 48162-5121
Mailing address
1710 Hendricks Dr
Monroe, MI 48162-5121
Phone (734) 240-0608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2693894 | Medicaid | OH |
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 |
|---|---|---|---|
| PN-093612 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456876800000",
"number": "1700924339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 HENDRICKS DR",
"city": "MONROE",
"state": "MI",
"postal_code": "481625121",
"telephone_number": "734-240-0608",
"fax_number": "734-240-0608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 HENDRICKS DR",
"city": "MONROE",
"state": "MI",
"postal_code": "481625121",
"telephone_number": "734-240-0608",
"fax_number": "734-240-0608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIED",
"first_name": "HOLLY",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-03",
"last_updated": "2016-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN-093612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2693894",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.