Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen Holliday

Individual provider Nurse Practitioner · NPI 1255998340

Kathleen Holliday is a Nurse Practitioner in Bradenton, Florida. Qualified in 2018, 8 years ago. Practices with West Florida Physician Network, LLC, a 50-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2020 59th St W
Bradenton, FL 34209-4604
Phone: (706) 863-9595
Fax: (706) 868-8375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11002247 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN11002247 (FL)

Record details

NPI number1255998340
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 23, 2019
Last updated in NPPESMarch 18, 2021
Certification dateMarch 18, 2021
Mailing addressPo Box 3725, Augusta, GA 30914-3725

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice West Florida Physician Network, Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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