Active NPI
Travis Jay Holtsinger
- Registered Nurse
- Madison, MS
National Provider Identifier
1063009728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 898463
- Practice address
- 107 Wildwood Dr
Madison, MS 39110-7045 - Phone
- (601) 937-1729
- NPI assigned
- Dec 29, 2020
- Last updated
- Dec 29, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 898463 | MS | Primary |
Addresses
Primary practice location
107 Wildwood Dr
Madison, MS 39110-7045
Mailing address
107 Wildwood Dr
Madison, MS 39110-7045
Phone (601) 937-1729
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 898463 | MS | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1063009728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 WILDWOOD DR",
"city": "MADISON",
"state": "MS",
"postal_code": "391107045",
"telephone_number": "601-937-1729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 WILDWOOD DR",
"city": "MADISON",
"state": "MS",
"postal_code": "391107045",
"telephone_number": "601-937-1729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTSINGER",
"first_name": "TRAVIS",
"middle_name": "JAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-29",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MS",
"license": "898463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.