MARY R. HOLT (NPI# 1073772984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073772984 |
| Entity Type | Individual |
| Full Name | MARY R. HOLT |
| Credential | CPNP |
| Practice Address |
935 Baxter St Se Grand Rapids MI 49506-2500 |
| Mailing Address |
935 Baxter St Se Grand Rapids MI 49506-2599 |
| Practice Telephone | 6164565310 |
| Practice Fax Number | 6164568640 |
| Mailing Telephone | 6164565310 |
| Mailing Fax Number | 6164568640 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704109296 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2742857 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093320921 | Mary E Holt | Counselor | 346 Trail Winds Dr # 61, Bethlehem, GA 30620-1835 | 2020-09-08 |
| 1770003881 | Mary Jasmine Holt | Speech-Language Pathologist | 415 Campbell Dr, Hamilton, OH 45011-1905 | 2017-06-21 |
| 1750586053 | Mary Jeanne Holt | Chiropractor | 118 Troy Cir, Dyersburg, TN 38024-3246 | 2007-06-18 |
| 1689137259 | Mary Holt | Registered Nurse | 101 W 8th Ave, Spokane, WA 99204-2307 | 2019-04-10 |
| 1366924748 | Mary Holt | Social Worker | 800 Washington St, Norwood, MA 02062-3487 | 2018-09-03 |
| 1477756641 | Mary Beth Holt | Social Worker | 4653 E Main St, Whitehall, OH 43213-3298 | 2007-06-06 |
| 1245394386 | Mary S Holt | Occupational Therapist | 1 Hampton Rd, Suite 200, Exeter, NH 03833-4848 | 2006-12-21 |
| 1235141763 | Mary Louise Holt | Psychologist | 5934 S Staples St, Ste. 206, Corpus Christi, TX 78413-3842 | 2006-08-13 |
| Street Address |
935 BAXTER ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669807970 | Lisa Ann Watkins | Nurse Practitioner | 1545 68th St Se Ste 100, Grand Rapids, MI 49508-7896 | 2013-09-05 |
| 1518020395 | Sarah K Little | Nurse Practitioner | 35 Michigan St Ne Ste 4150, Grand Rapids, MI 49503-2529 | 2006-12-19 |
| 1427568021 | Elizabeth Demaagd | Nurse Practitioner | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2017-10-09 |
| 1093237356 | Emily Alison Jandasek | Nurse Practitioner | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2017-07-08 |
| 1730628199 | Karly Rose Mcleod Hiser | Nurse Practitioner | 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503-2527 | 2017-02-17 |
| 1245683002 | Shawn Kay Hillman | Nurse Practitioner | 35 Michigan St Ne, Suite 1800, Grand Rapids, MI 49503-2514 | 2016-07-18 |
| 1477901759 | Maria Mccormick | Nurse Practitioner | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2016-05-27 |
| 1285006700 | Anna K Weller | Nurse Practitioner | 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 | 2015-10-23 |
| 1992149934 | Rebecca S Mccurdy | Nurse Practitioner | 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2514 | 2013-04-22 |
| 1265770010 | Jami Alyssa Rubin Pavlak | Nurse Practitioner | 35 Michigan St Ne, Suite 4150, Grand Rapids, MI 49503-2514 | 2013-01-29 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
Please comment or provide details below to improve the information on MARY R. HOLT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.