Active NPI
Holly Michaux Enders, ARNP
- Primary Care Nurse Practitioner
- Key West, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- ARNP9476466
- Practice address
- 1111 12TH. Street
Key West, FL 33040 - Phone
- (305) 293-5015
- Fax
- (305) 293-5016
- NPI assigned
- May 6, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9476466 | FL | |
| Primary Care Nurse Practitioner | 363LP2300X | 0024174157 | VA | |
| Primary Care Nurse Practitioner | 363LP2300X | ARNP9476466 | FL | Primary |
Addresses
Primary practice location
1111 12TH. Street
Key West, FL 33040
Mailing address
1111 12TH. St. Ste. 203
Key West, FL 33040
Phone (305) 293-5015
Other practice location 1
22 S Greene St
Baltimore, MD 21201-1544
Phone (410) 328-5196
Other practice location 2
1111 12th St
Key West, FL 33040-4088
Phone (305) 293-5015
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 699858500 | Medicaid | MD | |
| 613336-01 | Other | MD | BLUE CROSS/BLUE SHIELD |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9476466 | FL | MD | Primary Care Nurse Practitioner |
| 0024174157 | VA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Physicians P.a. | Current | Accepting new patients | |
| University of Maryland Physicians PA | Current | Accepting new patients |
Locations
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
Organizations & group practices 2
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.
-
dba University of Maryland Medical Group - Geographic Medicine
- Infectious Disease Physician
- Baltimore, MD
- NPI 1720038540
-
dba University of Maryland Medical Group - Infectious Disease
- Infectious Disease Physician
- Baltimore, MD
- NPI 1134179955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522195200000",
"number": "1740239961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 12TH. ST. STE. 203",
"city": "KEY WEST",
"state": "FL",
"postal_code": "33040",
"telephone_number": "305-293-5015",
"fax_number": "305-293-5016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 12TH. STREET",
"city": "KEY WEST",
"state": "FL",
"postal_code": "33040",
"telephone_number": "305-293-5015",
"fax_number": "305-293-5016"
}
],
"practiceLocations": [
{
"address_1": "22 S Greene St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212011544",
"country_code": "US",
"telephone_number": "410-328-5196",
"fax_number": "410-328-0248",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1111 12th St",
"address_purpose": "LOCATION",
"city": "Key West",
"state": "FL",
"postal_code": "330404088",
"country_code": "US",
"telephone_number": "305-293-5015",
"fax_number": "305-293-5016",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENDERS",
"first_name": "HOLLY",
"middle_name": "MICHAUX",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-06",
"last_updated": "2018-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9476466",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "VA",
"license": "0024174157",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "ARNP9476466",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "699858500",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "613336-01",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.