Active NPI
Deborah Holderfield, CRNP
- Adult Health Nurse Practitioner
- Sylacauga, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1-113630
- Practice address
- 291 James Payton Blvd
Sylacauga, AL 35150-8047 - Phone
- (256) 249-0028
- Fax
- (265) 249-0019
- NPI assigned
- Jun 21, 2012
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1-113630 | AL | Primary |
Addresses
Primary practice location
291 James Payton Blvd
Sylacauga, AL 35150-8047
Mailing address
291 James Payton Blvd
Sylacauga, AL 35150-8047
Phone (256) 249-0028
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-113630 | Other | AL | CRNP COLLABORATION LICENSE |
| 3687 | Other | AL | PRESCRIBING NUMBER |
| A0512010 | Other | AANP CERTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-113630 | AL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merit Health Care, PC | Current | Accepting new patients | |
| Merit Health Care, PC | Adult Health | Current | Accepting new patients |
Locations
21342 AL Highway 9
Goodwater, AL 35072
Phone (256) 743-1300
291 James Payton Blvd
Sylacauga, AL 35150
Phone (256) 245-0297
216 Battle St E
Ste A
Talladega, AL 35160
Phone (256) 249-0028
216 Battle St E
Talladega, AL 35160
Phone (256) 761-1889
729 Battle St E
Talladega, AL 35160
Phone (256) 249-0028
Interoperability endpoints
- deborah.holderfield@merit.directbygreenway.com
Organizations & group practices 2
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.
-
- Nephrology Physician
- Talladega, AL
- NPI 1326156027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439769600000",
"number": "1962765164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 JAMES PAYTON BLVD",
"city": "SYLACAUGA",
"state": "AL",
"postal_code": "351508047",
"telephone_number": "256-249-0028",
"fax_number": "256-249-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 JAMES PAYTON BLVD",
"city": "SYLACAUGA",
"state": "AL",
"postal_code": "351508047",
"telephone_number": "256-249-0028",
"fax_number": "265-249-0019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDERFIELD",
"first_name": "DEBORAH",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2015-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AL",
"license": "1-113630",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNP COLLABORATION LICENSE",
"identifier": "1-113630",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESCRIBING NUMBER",
"identifier": "3687",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANP CERTIFICATION",
"identifier": "A0512010",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sylacauga, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.