Active NPI
Holly Nisley, MSW
- Social Worker
- Grand Junction, CO
National Provider Identifier
1902380975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- NLC.0106452
- Practice address
- 510 29 1/2 Rd
Grand Junction, CO 81504-5383 - Phone
- (970) 248-2875
- NPI assigned
- Sep 17, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | NLC.0106452 | CO | Primary |
Addresses
Primary practice location
510 29 1/2 Rd
Grand Junction, CO 81504-5383
Mailing address
2848 Orchard Ave
Grand Junction, CO 81501-4991
Phone (970) 234-0503
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 |
|---|---|---|---|
| NLC.0106452 | CO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537142400000",
"number": "1902380975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2848 ORCHARD AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815014991",
"telephone_number": "970-234-0503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 29 1/2 RD",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815045383",
"telephone_number": "970-248-2875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISLEY",
"first_name": "HOLLY",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-17",
"last_updated": "2018-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "NLC.0106452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.