Individual provider Active NPI

Muriel Hollandsworth, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Staunton, VA
National Provider Identifier
1750938502
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024178112 Issued in VA
Practice address
103 Valley Center Dr
Staunton, VA 24401-5080
Phone
(540) 332-8000
NPI assigned
Aug 26, 2019
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024178112 VA Primary

Addresses

Primary practice location

103 Valley Center Dr
Staunton, VA 24401-5080

Mailing address

103 Valley Center Dr, Staunton, VA 24401
Staunton, VA 24401

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://www.wsh.dbhds.virginia.gov/

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024178112VAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1750938502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 VALLEY CENTER DR, STAUNTON, VA 24401",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "24401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 VALLEY CENTER DR",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244015080",
            "telephone_number": "540-332-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLANDSWORTH",
        "first_name": "MURIEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024178112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.wsh.dbhds.virginia.gov/",
            "affiliation": "N",
            "address_1": "103 Valley Center Dr",
            "city": "Staunton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "244015080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

Verify at the official NPI Registry.