Active NPI
Holly McBride, LPN
- Licensed Practical Nurse
- Mesa, AZ
National Provider Identifier
1952732174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPO39250
- Practice address
- 10211 E Madero Ave
Mesa, AZ 85209-1493 - Phone
- (480) 635-2025
- NPI assigned
- Dec 13, 2013
- Last updated
- Dec 13, 2013
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPO39250 | AZ | Primary |
Addresses
Primary practice location
10211 E Madero Ave
Mesa, AZ 85209-1493
Mailing address
8832 E Pueblo Ave Lot 79
Mesa, AZ 85208-2942
Phone (480) 359-9043
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 |
|---|---|---|---|
| LPO39250 | AZ | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386892800000",
"number": "1952732174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8832 E PUEBLO AVE LOT 79",
"city": "MESA",
"state": "AZ",
"postal_code": "852082942",
"telephone_number": "480-359-9043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10211 E MADERO AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852091493",
"telephone_number": "480-635-2025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "HOLLY",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-13",
"last_updated": "2013-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "AZ",
"license": "LPO39250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
- Linah Wanjiku Mbaru, MSN, APRN, FNP-BC
- MBR Hearing AIDS, Inc., Dba Beltone Hearing Centers
- Chelsea Elizabeth McAuley, FNP-C
- Andrew Kirby McBride, PHYSICIAN ASSISTANT
- David Lawrence McBride, M.S.
- Ingrid Kristina McBride, AU.D.
- Kathleen McBride, CRNA, FNP
- Ashley McCabe, PA-C, MPAS
- Madison McCabe
- Thomas E. McCall Jr., M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.