KWANEI DEJACCARA HOLLOWAY FNP-BC - NPI 1972345213 - Nurse Practitioner in Houston, TX

Q: What is Kwanei Holloway's NPI number?

The NPI number for Kwanei Holloway is 1972345213. It was assigned to this individual provider in the NPPES registry on June 8, 2024.

Q: What is Kwanei Holloway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kwanei Holloway was last updated on January 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Kwanei Dejaccara Holloway Fnp-bc NPPES

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

KWANEI DEJACCARA HOLLOWAY FNP-BC (NPI 1972345213) is an individual family provider in Houston, Texas, licensed in Texas (1152337) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1972345213

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKWANEI DEJACCARA HOLLOWAYCredential: FNP-BC

Location Address2323 POLK ST APT 307Houston, TX 77003-4407

Mailing Address231 Wood Circle LnHouston, TX 77015-2073 · (901) 503-3480

Phone(329) 687-1758

Fax(713) 583-8095

Sole ProprietorNo

Enumeration DateJune 8, 2024

Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2025

✔ NPI 1972345213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1152337

2323 POLK ST APT 307, Houston, TX 77003

Open in Google Maps ↗

Secondary Practice Location 1

Location 1231 Wood Circle LnHouston, TX 77015-2073 · Phone (901) 503-3480

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kwanei Dejaccara Holloway Fnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

TIFFANY LOPEZ NP

Nurse Practitioner (Primary Care)