Individual provider Active NPI

Monica Latoya Holloway

  • Psychiatric/Mental Health Nurse Practitioner
  • Florence, SC
National Provider Identifier
1821836313
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
30217 Issued in SC
Practice address
908 S Parker Dr
Florence, SC 29501-6007
Phone
(843) 917-1812
Fax
(843) 206-6236
NPI assigned
Jul 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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 30217 SC Primary

Addresses

Primary practice location

908 S Parker Dr
Florence, SC 29501-6007

Mailing address

2715 Whirlaway Ave
Florence, SC 29505-8719
Phone (843) 206-6236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260202002114 SC Practitioner - Nurse Practitioner 5092293910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

27 Randolph Rd
Howell, NJ 07731-8611

2715 Whirlaway Ave
Suite 208
Florence, SC 29505-8719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Almeta'S Transportation LLC. Transportation Network Company CurrentSince Jun 23, 2025 Accepting new patients
Supportive Care of South Carolina LLC CurrentSince Jan 1, 2026 Accepting new patients
Serenity'S Nest LLC. CurrentSince Jun 23, 2025 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

908 S Parker Dr
Florence, SC 29501
Phone (843) 409-6978

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1821836313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 WHIRLAWAY AVE",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295058719",
            "telephone_number": "843-206-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 S PARKER DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016007",
            "telephone_number": "843-917-1812",
            "fax_number": "843-206-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "MONICA",
        "middle_name": "LATOYA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "30217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.