Mary Beth Holbert

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

92363 Issued in TN

Practice address

206 Legion Ave
Lewisburg, TN 37091-2898

Phone

(931) 359-1551

NPI assigned

Jul 29, 2019

Last updated

Jul 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1073167078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 LEGION AVE",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912898",
            "telephone_number": "931-359-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 LEGION AVE",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912898",
            "telephone_number": "931-359-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBERT",
        "first_name": "MARY",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "92363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "fatcatorange88@gmail.com",
            "affiliation": "N",
            "address_1": "206 Legion Ave",
            "city": "Lewisburg",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370912898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dorothy Rachel Hicks
• Madelyn Elizabeth Hicks, BCBA
• Kimberly Eastland Hill, PT
• Cassie Eve Hillis
• Chastity Danielle Hobbs, BS
• Tamara Carolynn Holley, BS
• Shirley Holmes, OTR/L
• Amy Alicia Holt, APRN
• Therese Hooks, OTR L
• Andra Michelle Hubbard, COTA/L

• Licensed Practical Nurse in Lewisburg, TN
• Providers in Lewisburg, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.