Individual provider Active NPI

Callie Holloway, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Winchester, CA
National Provider Identifier
1902780018
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
841825 Issued in NV
Practice address
33413 Rusty CT
Winchester, CA 92596-1736
Phone
(951) 764-0385
NPI assigned
Aug 1, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 841825 NV
Family Nurse Practitioner 363LF0000X 841825 NV Primary

Addresses

Primary practice location

33413 Rusty CT
Winchester, CA 92596-1736

Mailing address

10509 Star Quest Ave
Las Vegas, NV 89144-1103
Phone (951) 764-0385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
841825NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holloway Nursing Corporation Nurse Practitioner Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1902780018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10509 STAR QUEST AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891441103",
            "telephone_number": "951-764-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33413 RUSTY CT",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925961736",
            "telephone_number": "951-764-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "CALLIE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-08-01",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "841825",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "841825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, CA

Sources for this page

Verify at the official NPI Registry.