Active NPI
Latrena D Holden, OT
- Point of Service
- Columbus, OH
National Provider Identifier
1043413644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 004995
- Practice address
- 5020 Reed Rd
Suite C
Columbus, OH 43220-2581 - Phone
- (614) 284-4223
- NPI assigned
- Jun 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 004995 | OH | Primary |
Addresses
Primary practice location
5020 Reed Rd
Suite C
Columbus, OH 43220-2581
Mailing address
256 Parklawn Blvd
Apt. K
Columbus, OH 43213-3813
Phone (614) 861-3638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004995 | OH | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043413644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 PARKLAWN BLVD",
"address_2": "APT. K",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432133813",
"telephone_number": "614-861-3638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5020 REED RD",
"address_2": "SUITE C",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432202581",
"telephone_number": "614-284-4223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDEN",
"first_name": "LATRENA",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "OH",
"license": "004995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.