RENDA JOY HOLLADAY DNP APRN PMHNP-BC NPI 1235321696

NPI Information

NPI: 1235321696
Provider Name: RENDA JOY HOLLADAY, DNP, APRN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1301 W 38TH ST STE 700
AUSTIN, TX
ZIP 78705
Phone: (512) 324-3380
Get Directions

Renda Joy Holladay, DNP, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Austin, TX with 15 years of experience. Renda Joy Holladay, DNP, APRN, PMHNP-BC NPI is 1235321696. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1301 W 38TH ST STE 700
AUSTIN, TX
ZIP 78705-016
Phone: (512) 324-3380

The NPI 1235321696 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/9/2007 and was last updated on 2/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	AP115660	TEXAS	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP115660	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	298557YMP3	OTHER	TEXAS	MEDICARE
2	2127763-02	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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