Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARIAH CARLY HOLST NP
NPI 1407771058
Nurse Practitioner - Gerontology in Suffolk, VA

Active since August 12, 2026
2790 GODWIN BLVD STE 360, SUFFOLK, VA 23434(757) 261-8070(757) 995-7095 Get Directions Write a Review

NPPES record added: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2026, Sep 25, 2026, Aug 12, 2026 (3 updates tracked since 2026).

About Mariah Carly Holst Np NPPES

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

MARIAH CARLY HOLST NP (NPI 1407771058) is an individual gerontology provider in Suffolk, Virginia, licensed in Virginia (0024198442) and active in the NPI registry since August 2026. She maintains a secondary practice location in Chesapeake.

NPPES Registry Identity

NPI1407771058
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARIAH CARLY HOLSTCredential: NP
Location Address2790 GODWIN BLVD STE 360Suffolk, VA 23434-8153
Mailing Address2790 Godwin Blvd Ste 360Suffolk, VA 23434-8153 · (757) 261-8070 · Fax (757) 995-7095
Fax(757) 995-7095
Sole ProprietorYes
Enumeration DateAugust 12, 2026
Last NPPES UpdateSeptember 30, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1407771058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in VA · 0024198442
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 0024198442 (VA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 0024198442 (VA)
2790 GODWIN BLVD STE 360, Suffolk, VA 23434

Secondary Practice Location 1

Location 1709 Elderberry CtChesapeake, VA 23320-9219 · Phone (760) 333-6412

Other Providers at the Same Location NPPES 11

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

Advanced Practice Midwife
2790 GODWIN BLVD STE 360
SUFFOLK, VA 23434
Internal Medicine
2790 GODWIN BLVD STE 360
SUFFOLK, VA 23434
Nurse Practitioner
2790 GODWIN BLVD STE 360
SUFFOLK, VA 23434
Hospitalist
2790 GODWIN BLVD STE 360
SUFFOLK, VA 23434
Nurse Practitioner (Women's Health)
2790 GODWIN BLVD STE 360
SUFFOLK, VA 23434
Family Medicine
2790 GODWIN BLVD STE 360
SUFFOLK, VA 23434
Hospitalist
2790 GODWIN BLVD STE 360
SUFFOLK, VA 23434
Nurse Practitioner (Women's Health)
2790 GODWIN BLVD STE 360
SUFFOLK, VA 23434

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 Mariah Holst's NPI number?

The NPI number for Mariah Holst is 1407771058. It was assigned to this individual provider in the NPPES registry on August 12, 2026.

Where is Mariah Holst located?

Mariah Holst practices at 2790 Godwin Blvd Ste 360, Suffolk, VA 23434. The listed phone number is (757) 261-8070.

What is Mariah Holst's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Mariah Holst was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.