Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CORTLYN ABIGAIL HOLDREN
NPI 1215724216
Student in an Organized Health Care Education/Training Program in Wilmington, NC

Active since April 22, 2025PECOS Enrolled
2150 SHIPYARD BLVD, WILMINGTON, NC 28403(910) 662-9300(910) 662-9400 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cortlyn Abigail Holdren NPPES

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

CORTLYN ABIGAIL HOLDREN (NPI 1215724216) is an individual student in an organized health care education/training program in Wilmington, North Carolina, licensed in North Carolina (RTL26-0175) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Johnson City.

NPPES Registry Identity

NPI1215724216
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCORTLYN ABIGAIL HOLDREN
Location Address2150 SHIPYARD BLVDWilmington, NC 28403-8052
Mailing AddressPo Box 936857Atlanta, GA 31193-6857
Fax(910) 662-9400
Sole ProprietorNo
Enumeration DateApril 22, 2025
Last NPPES UpdateJuly 9, 2026
NPPES CertifiedJuly 9, 2026
NPI 1215724216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in NC · RTL26-0175
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2150 SHIPYARD BLVD, Wilmington, NC 28403

Secondary Practice Location 1

Location 1325 N State Of Franklin RdJohnson City, TN 37604-6056 · Phone (423) 439-7201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cortlyn Abigail Holdren is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

Student in an Organized Health Care Education/Training Program
2150 SHIPYARD BLVD
WILMINGTON, NC 28403
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2150 SHIPYARD BLVD
WILMINGTON, NC 28403
Obstetrics & Gynecology
2150 SHIPYARD BLVD
WILMINGTON, NC 28403
Genetic Counselor, MS
2150 SHIPYARD BLVD
WILMINGTON, NC 28403
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2150 SHIPYARD BLVD
WILMINGTON, NC 28403
Nurse Practitioner
2150 SHIPYARD BLVD
WILMINGTON, NC 28403
Nurse Practitioner (Family)
2150 SHIPYARD BLVD
WILMINGTON, NC 28403
Physician Assistant
2150 SHIPYARD BLVD
WILMINGTON, NC 28403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cortlyn Holdren's NPI number?

The NPI number for Cortlyn Holdren is 1215724216. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Cortlyn Holdren located?

Cortlyn Holdren practices at 2150 Shipyard Blvd, Wilmington, NC 28403. The listed phone number is (910) 662-9300.

What is Cortlyn Holdren's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Cortlyn Holdren enrolled in Medicare?

Yes. Cortlyn Holdren is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cortlyn Holdren was last updated on July 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.