Gina Hollingsworth

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3017769 Issued in KY

Practice address

209 Old Harrods Creek Rd # 400
Louisville, KY 40223-2553

Phone

(502) 518-6007

Fax

(502) 586-7179

NPI assigned

Jun 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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 and National Provider Directory roles.

• Applegate Health Services, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bowling Green, KY
  • NPI 1073075792
  NPD (past)
• Applegate Health Services, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Middletown, KY
  • NPI 1326500059
  NPD (past)
• Applegate Health Services, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Crestview Hills, KY
  • NPI 1437676921
  NPD (past)
• Baymark Health Services of Kentucky, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1427639608
  NPD (past)

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1831820737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 OLD HARRODS CREEK RD # 400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232553",
            "telephone_number": "502-517-6007",
            "fax_number": "502-586-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 OLD HARRODS CREEK RD # 400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232553",
            "telephone_number": "502-518-6007",
            "fax_number": "502-586-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "GINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3017769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.advancedmd.com/medical-office-software/security/",
            "affiliation": "N",
            "endpointDescription": "AdvancedMD",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "209 Old Harrods Creek Rd # 400",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402232553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hollern Chiropractic P.S.C.
• James M Hollern, D.C.
• Ashton Grey Holley, PHARMD
• Laura Wesley Holley
• Latisha Hollings
• Evelyn Hollingworth
• Kenneth Allen Hollis, PH.D., LMFT
• Nyah Adella Hollman
• Jessica Holloman, MD
• Jennifer Abbott Hollon, MD

• Psychiatric/Mental Health Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.