Individual provider Active NPI

Halley Holloway, MAS, RDN, LD, CLT

  • Registered Dietitian
  • Cleburne, TX
National Provider Identifier
1811370703
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT83144 Issued in TX
Practice address
1953 County Road 1120
Cleburne, TX 76033-8205
Phone
(828) 489-4666
NPI assigned
Jul 9, 2015
Last updated
Jul 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT83144 TX Primary

Addresses

Primary practice location

1953 County Road 1120
Cleburne, TX 76033-8205

Mailing address

1953 County Road 1120
Cleburne, TX 76033-8205
Phone (828) 489-4666

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

LicenseStateTypeSpecialty
DT83144TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Body to Soul, LLC Dietitian, Registered PastSince Mar 17, 2024 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients
Allara Medical Group PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: halley.holloway@335000925634564.direct.elationemr.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1811370703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 COUNTY ROAD 1120",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760338205",
            "telephone_number": "828-489-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 COUNTY ROAD 1120",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760338205",
            "telephone_number": "828-489-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "HALLEY",
        "name_prefix": "Mrs.",
        "credential": "MAS, RDN, LD, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT83144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.