Kwanei Dejaccara Holloway, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1152337 Issued in TX

Practice address

2323 Polk St Apt 307
Houston, TX 77003-4407

Phone

(329) 687-1758

Fax

(713) 583-8095

NPI assigned

Jun 8, 2024

Last updated

Jan 10, 2025By the provider in NPPES

Sex

Female

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Kjcares, PLLC

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1740748813
  Medicare reassignment NPD

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

{
    "created_epoch": "1717804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1972345213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 WOOD CIRCLE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770152073",
            "telephone_number": "901-503-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 POLK ST APT 307",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770034407",
            "telephone_number": "329-687-1758",
            "fax_number": "713-583-8095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 Wood Circle Ln",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770152073",
            "country_code": "US",
            "telephone_number": "901-503-3480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "KWANEI",
        "middle_name": "DEJACCARA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-08",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1152337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conisha Mone Holloman, MD
• Michael Hollopeter, PAC
• Candice Holloway
• Candice Michaele Holloway, LPC, LCDC
• Kelsey Holloway
• Lisa Robin Holloway, D.O.
• Marcia Kay Holloway, NP-C
• Nancy Alice Holloway, RN WHNPBC
• Shannon Briggs Holloway, PA-C
• Holly Hall (Holly Hall Home Health)

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.

Verify at the official NPI Registry.