Individual provider Active NPI

Halle Mylinda Holloway

  • Family Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1992303200
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28492 Issued in TN
Practice address
1715 S Rutherford Blvd Ste a
Murfreesboro, TN 37130-5991
Phone
(615) 575-3795
Fax
(877) 719-4275
NPI assigned
Oct 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28492 TN Primary

Addresses

Primary practice location

1715 S Rutherford Blvd Ste a
Murfreesboro, TN 37130-5991

Mailing address

1715 S Rutherford Blvd Ste a
Murfreesboro, TN 37130-5991
Phone (615) 575-3795

Other identifiers 2

IdentifierTypeStateIssuer
Q065758MedicaidTN
APRN28492OtherTNSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address halle.holloway.1@29601.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20210528000984 TN Practitioner - Nurse Practitioner 7315346053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centerwell Senior Primary Care TN PCGroup PAC ID 6709261712, 39 clinicians

Practice addresses (Care Compare)

1715 S Rutherford Blvd
Suite a
Murfreesboro, TN 37130-5991
Phone (629) 888-1092

Hospital & facility affiliations

  • Tristar Stonecrest Medical Center Hospital, Smyrna, TN, CCN 440227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care TN PC CurrentSince Mar 20, 2023 Accepting new patients
Centerwell Senior Primary Care TN PC CurrentSince Mar 20, 2023 Accepting new patients
Centerwell Senior Primary Care TN PC Current Accepting new patients
Centerwell Senior Primary Care TN PC Past Accepting new patients

Locations

1715 S Rutherford Blvd
Ste A
Murfreesboro, TN 37130
Phone (615) 575-3795

4901 Nolensville Rd
Nashville, TN 37211
Phone (615) 760-5022

405 W Sam Ridley Pkwy
Smyrna, TN 37167
Phone (615) 257-6027

Interoperability endpoints

  • Direct secure messaging: halle.holloway.1@29601.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1992303200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 S RUTHERFORD BLVD STE A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371305991",
            "telephone_number": "615-575-3795",
            "fax_number": "877-719-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 S RUTHERFORD BLVD STE A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371305991",
            "telephone_number": "615-575-3795",
            "fax_number": "877-719-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "HALLE",
        "middle_name": "MYLINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q065758",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "APRN28492",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "halle.holloway.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1715 S Rutherford Blvd Ste A",
            "city": "Murfreesboro",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371305991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.