Active NPI
Latanya Holloway
- Registered Nurse
- Cudahy, WI
National Provider Identifier
1821346917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 185926-30
- Practice address
- 4550 S Nicholson Ave
Unit 2
Cudahy, WI 53110-1361 - Phone
- (414) 241-6855
- NPI assigned
- Aug 21, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 185926-30 | WI | Primary |
Addresses
Primary practice location
4550 S Nicholson Ave
Unit 2
Cudahy, WI 53110-1361
Mailing address
4550 S Nicholson Ave
Unit 2
Cudahy, WI 53110-1361
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
| License | State | Type | Specialty |
|---|---|---|---|
| 185926-30 | WI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Courteous Home Health Care | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Cudahy, WI
- NPI 1265780969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345507200000",
"number": "1821346917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 S NICHOLSON AVE",
"address_2": "UNIT 2",
"city": "CUDAHY",
"state": "WI",
"postal_code": "531101361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 S NICHOLSON AVE",
"address_2": "UNIT 2",
"city": "CUDAHY",
"state": "WI",
"postal_code": "531101361",
"telephone_number": "414-241-6855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOWAY",
"first_name": "LATANYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-21",
"last_updated": "2012-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "185926-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cudahy, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.