CMS-1500 Box 24J / 33a • NPI
1710410741
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2084N0400X (CMS 13)
Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)
Box 32 Service Location & ZIP+4
130 W RAVINE RD, KINGSPORT, TN, 37660-3837
✓ 9-Digit EDI 837 ZIP+4 (37660-3837)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1710410741 (HOLLY C APPLEBERRY, DO, MBA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1710410741 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | HOLLY C APPLEBERRY, DO, MBA |
| Plain-English Specialty | Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) NUCC Code: 2084N0400X (Psychiatry & Neurology, Neurology) |
| Certifying / Licensing Body | American Board of Psychiatry and Neurology (ABPN) |
| Practice Location Address | 130 W RAVINE RD, KINGSPORT, TN, 37660-3837 |
| Practice Telephone / Fax | Tel: (423) 225-6111 | Fax: (423) 630-7019 |
| Administrative Mailing Address | 300 HALKET ST, PITTSBURGH, PA, 15213-3108 |
| Enumeration & Last Sync | Enumerated: 2017-04-06 | CMS Record Updated: 2026-09-17 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (2084N0400X)
What Does Taxonomy Code 2084N0400X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2084N0400X translates to:
"Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (HOLLY C APPLEBERRY, DO, MBA)
Typical CPT / Diagnostic Procedures:- Electroencephalography (EEG — CPT 95816) for Seizure & Epilepsy Evaluation
- Electromyography (EMG) & Nerve Conduction Studies (NCS)
- Lumbar Puncture & Cerebrospinal Fluid (CSF) Pressure/Analysis
- Acute Ischemic Stroke NIHSS Assessment & Neuroimaging Review
- CGRP Antagonists & Triptans (Sumatriptan, Rizatriptan) for Migraine
- Antiepileptic Drugs (Levetiracetam, Lamotrigine, Valproate)
- Levodopa/Carbidopa (Parkinson's Disease) & Gabapentin/Pregabalin (Neuropathy)
- Antiplatelet & Secondary Stroke Prevention Regimens
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2084N0400X — Psychiatry & Neurology, NeurologyPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: DC | License: DO034999 | Primary: Secondary |
2084N0400X — Psychiatry & Neurology, NeurologyPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: OR | License: DO227946 | Primary: Secondary |
2084N0400X — Psychiatry & Neurology, NeurologyPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: TN | License: 6654 | Primary: Secondary |
2084N0400X — Psychiatry & Neurology, NeurologyPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: VA | License: 0102206531 | Primary: Secondary |
2084N0400X — Psychiatry & Neurology, NeurologyPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: WI | License: 13221-321 | Primary: Secondary |
2084N0400X — Psychiatry & Neurology, NeurologyPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: PA | License: OS022319 | Primary: Yes (Primary) |
2084N0400X — Psychiatry & Neurology, NeurologyPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: MD | License: H0091462 | Primary: Secondary |
2084N0400X — Psychiatry & Neurology, NeurologyPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: WA | License: OP70063100 | Primary: Secondary |
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