Nicole Holloran, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

12.012189 Issued in CT

Practice address

425 Grant St
Bridgeport, CT 06610-3222

Phone

(203) 416-1915

NPI assigned

Nov 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Recovery Network of Programs, Inc

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Bridgeport, CT
  • NPI 1962710327
  NPD (past)

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1760256929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 GRANT ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066103222",
            "telephone_number": "203-416-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 GRANT ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066103222",
            "telephone_number": "203-416-1915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1438 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "066042512",
            "country_code": "US",
            "telephone_number": "203-583-8181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLORAN",
        "first_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "12.012189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reginald Anthony Hoffler, M.D.
• Pamela Hoffman, MD
• Tracey Jennifer Hoggatt, APRN
• Anvar Jabbar Hoja, PA
• Bevan Kurthy Hollingsworth, DPM
• Holly Heaven (Another Way Counseling Service LLC)
• Sheryl L Hollyday, FNP-BC
• Francine L Holmes, LMSW
• Peter J Holzer, CPSRP
• Forugh Homayounrooz, MD

• Psychiatric/Mental Health Nurse Practitioner in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.