Organization Active NPI

Appalachian Medicine, PLLC

  • Family Nurse Practitioner
  • Rich Creek, VA
National Provider Identifier
1720976574
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
APPALACHIAN MEDICINE, PLLC
Practice address
120 Old Virginia Ave
Rich Creek, VA 24147-9669
Phone
(540) 235-1940
Fax
(540) 276-6833
NPI assigned
Jun 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Holly D. Earles, MSN, APRN, FNP-BCNPI 1174411623
Title
FNP/Owner
Phone
(540) 235-1940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

120 Old Virginia Ave
Rich Creek, VA 24147-9669

Mailing address

5082 Thornspring Rd
Pulaski, VA 24301-7032
Phone (540) 235-1940

Other practice location 1

1009 Old Country Club Rd NW
Roanoke, VA 24017-2927
Phone (540) 235-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251009002752 VA Part B Supplier - Clinic/Group Practice 4880191345 Receives reassigned benefits from 1 practitioner
Practice locations: Pulaski, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1720976574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5082 THORNSPRING RD",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243017032",
            "telephone_number": "540-235-1940",
            "fax_number": "540-276-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OLD VIRGINIA AVE",
            "city": "RICH CREEK",
            "state": "VA",
            "postal_code": "241479669",
            "telephone_number": "540-235-1940",
            "fax_number": "540-276-6833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 Old Country Club Rd NW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240172927",
            "country_code": "US",
            "telephone_number": "540-235-1940",
            "fax_number": "540-276-6833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APPALACHIAN MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-27",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "EARLES",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "FNP/OWNER",
        "authorized_official_telephone_number": "540-235-1940",
        "authorized_official_credential": "MSN, APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rich Creek, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.