Active NPI
Carrie Diane Holter, LPN, ASSOCIATES,
- Licensed Practical Nurse
- Lancaster, OH
National Provider Identifier
1063232924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN.096375.MEDS
- Practice address
- 117 W Main St Ste 107
Lancaster, OH 43130-3799 - Phone
- (740) 500-0484
- Fax
- (740) 421-3193
- NPI assigned
- Oct 15, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN.096375.MEDS | OH | Primary |
Addresses
Primary practice location
117 W Main St Ste 107
Lancaster, OH 43130-3799
Mailing address
50060 Rainbow Ridge Rd
Long Bottom, OH 45743-9001
Phone (740) 416-9761
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 |
|---|---|---|---|
| LPN.096375.MEDS | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1063232924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50060 RAINBOW RIDGE RD",
"city": "LONG BOTTOM",
"state": "OH",
"postal_code": "457439001",
"telephone_number": "740-416-9761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 W MAIN ST STE 107",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431303799",
"telephone_number": "740-500-0484",
"fax_number": "740-421-3193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTER",
"first_name": "CARRIE",
"middle_name": "DIANE",
"credential": "LPN, ASSOCIATES,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-15",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "LPN.096375.MEDS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.