Ray L Holloway Jr., LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

155294 Issued in OH

Practice address

1800 E 63Rd St
Cleveland, OH 44103-3833

Phone

(216) 658-2620

Fax

(216) 361-2340

NPI assigned

Aug 31, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/pepcleve/r4/

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.

• Positive Education Program

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Cleveland, OH
  • NPI 1528035631
  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1922554799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152508",
            "telephone_number": "216-361-4400",
            "fax_number": "216-361-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E 63RD ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441033833",
            "telephone_number": "216-658-2620",
            "fax_number": "216-361-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "RAY",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "155294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Holloway
• Christina Holloway, MAN MANICURIST
• David Holloway, CNP
• Fatima Holloway
• Janell Holloway
• Shakahna Holloway, STNA
• Shakira Holloway, LPN
• Tanya L Holloway, QMHS
• Tomekia Holloway
• Janene Hollowell, LPN

• Licensed Practical Nurse in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.