MR. ROGER LAVERNE HOLT (NPI# 1518143817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518143817 |
| Entity Type | Individual |
| Full Name | MR. ROGER LAVERNE HOLT |
| Practice Address |
1104a S Main St Lexington NC 27292-3134 |
| Mailing Address |
284 Executive Park Dr Ste 100 Concord NC 28025-1833 |
| Practice Telephone | 3362422450 |
| Practice Fax Number | 3362499920 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
900423 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6113061 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 725 Highland Ave Unit 116, Winston Salem, NC 271014181 | 3367032616 | 3367485439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902896244 | Roger Holt | Emergency Medicine | 445 Lenox Rd, Brooklyn, NY 11203-2017 | 2005-10-27 |
| Street Address |
1104A S MAIN ST |
| City | LEXINGTON |
| State | NC |
| Zip Code | 27292-3134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598709206 | Cheryl V Rozanov | Psychiatry & Neurology | 1104a S Main St, Daymark Recovery Services Inc, Lexington, NC 27292-3134 | 2006-06-15 |
| 1083254270 | Brandy Rae Carlton | Counselor | 1104a S Main St, Lexington, NC 27292-3134 | 2020-01-15 |
| 1679121123 | Stephanie Yvette Adkins | Licensed Practical Nurse | 1104a S Main St, Lexington, NC 27292-3134 | 2019-08-28 |
| 1720646474 | Anita Sumner Lee | Clinical Nurse Specialist | 1104a S Main St, Lexington, NC 27292-3134 | 2019-05-29 |
| 1346703691 | Valerie Lynn Johns | Licensed Practical Nurse | 1104a S Main St, Lexington, NC 27292-3134 | 2019-04-12 |
| 1184108201 | Wendy Michelle Lyerly | Clinical Nurse Specialist | 1104a S Main St, Lexington, NC 27292-3134 | 2018-09-25 |
| 1396230207 | Scott D Haskins II | Counselor | 1104a S Main St, Lexington, NC 27292-3134 | 2018-06-25 |
| 1679060446 | Christin Esther Clercin | Counselor | 1104a S Main St, Lexington, NC 27292 | 2018-04-17 |
| 1710482328 | Huldah Norma Jo Johnson | Licensed Practical Nurse | 1104a S Main St, Lexington, NC 27292-3134 | 2018-03-26 |
| 1194225813 | Chasity Rose Bailey | Clinical Nurse Specialist | 1104a S Main St, Lexington, NC 27292-3134 | 2018-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619510021 | Alexander Youth Network | Community/Behavioral Health | 398 Owen Road, Rooms #616 & 618, Lexington, NC 27292 | 2019-10-18 |
| 1669911202 | Suzanne Rose Troy | Counselor | 110-a Cotton Grove Rd., Lexington, NC 27292 | 2017-02-15 |
| 1467908095 | Careatc - Leggett & Platt - Lexington, Nc | Clinic/Center | 3040 Junior Order Home Road, Lexington, NC 27292 | 2016-09-01 |
| 1437517182 | Regional Physicians LLC | Internal Medicine | 103 W Center St, Lexington, NC 27292 | 2016-02-09 |
| 1356772065 | Medstaffpc | Family Medicine | 3040 Junior Order Home Rd, Lexington, NC 27292 | 2013-12-05 |
| 1427306570 | Lisa Anne Kearns | Pharmacist | 880 Ervin Dr, Lexington, NC 27292 | 2012-08-21 |
| 1669756979 | Beth A Burns | Counselor | 19 E 2nd Ave Ste C, Lexington, NC 27292 | 2011-10-05 |
| 1629256185 | Holly Ann Clark | Counselor | 220 E First Ave Extension, Lexington, NC 27292 | 2008-02-07 |
| 1861675357 | High Rock Internal Medicine, Pa | Internal Medicine | 104 W. Medical Park Dr., Lexington, NC 27292 | 2007-12-07 |
| 1225229214 | Beatriz R. Aguero, Dds & Associates Iv, Pa | Dentist | 230 Lowes Blvd, Leexington, NC 27292 | 2007-08-06 |
| Find all providers in zip 27292 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235749581 | Melissa K Young-flynn | Nurse Practitioner | 713 Millpond Rd, Lexington, KY 40514-1570 | 2020-08-02 |
| 1821612615 | Hannah Olivia Robidoux | Nurse Practitioner | 109 Montelena Dr, Lexington, SC 29072-6911 | 2020-06-08 |
| 1831722115 | Free To Be Mental Health Services, LLC | Nurse Practitioner | 2035 Regency Rd Ste 8, Lexington, KY 40503-2333 | 2020-02-15 |
| 1265075238 | Colleen Turner | Nurse Practitioner | 3150 Custer Dr Ste 201, Lexington, KY 40517-4010 | 2019-10-23 |
| 1124672126 | Sheila Young Steinbrenner | Nurse Practitioner | 238 Rosemont Gdn, Lexington, KY 40503-1845 | 2019-07-29 |
| 1194207910 | Ljks | Nurse Practitioner | 1301 Winchester Rd Ste 147, Lexington, KY 40505-4179 | 2018-08-29 |
| 1881172823 | Kayla Kouns | Nurse Practitioner | 1030 Monarch Street Suite 100, Lexington, KY 40513-1820 | 2018-08-01 |
| 1033601992 | Davika Mattox Pmhnp Recovery and Wellness Behavioral Health | Nurse Practitioner | 3208 Polo Club Blvd, Lexington, KY 40509-8454 | 2018-06-05 |
| 1265935159 | Holly Melissa Lewis | Nurse Practitioner | 4766 Sunset Blvd Ste A, Lexington, SC 29072-9252 | 2018-03-16 |
| 1225546690 | Latoya Bo'nee Lee | Nurse Practitioner | 161 Prosperous Pl Ste 100, Lexington, KY 40509-1898 | 2018-01-18 |
| Find all providers in LEXINGTON | ||||
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| 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.