Individual provider Active NPI

Kimberly Brown Holshouser, CNM

  • Advanced Practice Midwife
  • Greensboro, NC
National Provider Identifier
1932872223
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
803 Issued in NC
Practice address
3200 Northline Ave Ste 130
Greensboro, NC 27408-7600
Phone
(336) 286-6565
NPI assigned
Aug 1, 2021
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X
Advanced Practice Midwife 367A00000X 803 NC Primary

Addresses

Primary practice location

3200 Northline Ave Ste 130
Greensboro, NC 27408-7600

Mailing address

3200 Northline Ave Ste 130
Greensboro, NC 27408-7600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210907000661 NC Practitioner - Certified Nurse Midwife (CNM) 3870999527 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
803NCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Feb 13, 2023 Accepting new patients
Novant Health Medical Group LLC CurrentSince Feb 13, 2023 Accepting new patients
Uwh of the Carolinas, PLLC CurrentSince Sep 1, 2021 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Feb 13, 2023 Accepting new patients

Locations

15825 Ballantyne Medical Pl
Ste 200
Charlotte, NC 28277
Phone (704) 384-1925

1718 E 4th St
Ste 201
Charlotte, NC 28204
Phone (704) 384-0560

1918 Randolph Rd
Ste 670
Charlotte, NC 28207
Phone (704) 334-9535

325 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 334-0802

5933 Blakeney Park Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-2021

1955 S US 29 Hwy
China Grove, NC 28023
Phone (704) 855-7611

3200 Northline Ave
Ste 130
Greensboro, NC 27408
Phone (336) 286-6565

14330 Oakhill Park Ln
Ste 100
Huntersville, NC 28078

911 W Henderson St
Ste 300
Salisbury, NC 28144
Phone (704) 636-9270

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1627776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1932872223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 NORTHLINE AVE STE 130",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 NORTHLINE AVE STE 130",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087600",
            "telephone_number": "336-286-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSHOUSER",
        "first_name": "KIMBERLY",
        "middle_name": "BROWN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-01",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.