Active NPI
Micahl Holloway, APRN
- Family Nurse Practitioner
- Gary, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28199983A
- Practice address
- 7201 W 25TH Ave
Gary, IN 46406-2940 - Phone
- (219) 979-2026
- NPI assigned
- Mar 3, 2022
- Last updated
- Aug 16, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71012573A | IN | |
| Family Nurse Practitioner | 363LF0000X | 28199983A | IN | Primary |
Addresses
Primary practice location
7201 W 25TH Ave
Gary, IN 46406-2940
Mailing address
7201 W 25TH Ave
Gary, IN 46406-2940
Phone (219) 979-2026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2350 Taft St
Gary, IN 46404-3349
Phone (219) 977-2600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28199983A | IN | MD | Family Nurse Practitioner |
| 71012573A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Post Acute Care PLLC | Current | Accepting new patients | |
| Altea Medical Indiana PC | Current | Accepting new patients | |
| Sound Physicians of Indiana, LLC | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Sound Physicians of Indiana, LLC | Current | Accepting new patients | |
| Sound Physicians of Indiana, LLC | Current | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437
2350 Taft St
Gary, IN 46404
Phone (219) 944-2677
4410 W 49th Ave
Hobart, IN 46342
Phone (219) 942-3279
3518 S Lafountain St
#3803
Kokomo, IN 46902
Phone (765) 453-4667
1101 E Coolspring Ave
Michigan City, IN 46360
Phone (219) 874-5211
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Gary, IN
- NPI 1992584783
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
IN
-
- Hospitalist Physician
- Gary, IN
- NPI 1528311149
-
dba Sound Physicinas of Indiana
- Hospitalist Physician
- Terre Haute, IN
- NPI 1184063257
-
- Hospitalist Physician
- Mishawaka, IN
- NPI 1356687164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1942957535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7201 W 25TH AVE",
"city": "GARY",
"state": "IN",
"postal_code": "464062940",
"telephone_number": "219-979-2026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7201 W 25TH AVE",
"city": "GARY",
"state": "IN",
"postal_code": "464062940",
"telephone_number": "219-979-2026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOWAY",
"first_name": "MICAHL",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-03",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71012573A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28199983A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gary, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.