ANDREA NICOLE O'CONNOR HOLMAN
NPI 1184370694
Counselor - Professional in Fredericksburg, VA

Q: What is Andrea Holman's NPI number?

The NPI number for Andrea Holman is 1184370694. It was assigned to this individual provider in the NPPES registry on February 23, 2022.

Q: What is Andrea Holman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Holman was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 23, 2022PECOS Enrolled

420 HUDGINS RD STE 201, FREDERICKSBURG, VA 22408(540) 621-5061(866) 832-7890 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2025, May 12, 2025, Feb 23, 2022 (3 updates tracked since 2022).

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About Andrea Nicole O'connor Holman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA NICOLE O'CONNOR HOLMAN (NPI 1184370694) is an individual professional provider in Fredericksburg, Virginia, licensed in Virginia (0701011191) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1184370694

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameANDREA NICOLE O'CONNOR HOLMAN

Location Address420 HUDGINS RD STE 201Fredericksburg, VA 22408-4172

Mailing Address420 Hudgins Rd Ste 201Fredericksburg, VA 22408-4172 · (540) 907-0121 · Fax (866) 832-7890

Phone(540) 621-5061

Fax(866) 832-7890

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 23, 2022

Last NPPES UpdateMay 20, 20253 updates tracked since enumeration

NPPES CertifiedMay 20, 2025

✔ NPI 1184370694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in VA · 0701011191

420 HUDGINS RD STE 201, Fredericksburg, VA 22408

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Nicole O'connor Holman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416460837

PECOS Enrollment IDI20250630002181

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY MARLEY

Social Worker (Clinical)