Active NPI
Lisa Renee Holt, CNM
- Advanced Practice Midwife
- Atlanta, GA
National Provider Identifier
1093974784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN081255
- Practice address
- #9 Dunwoody Park
Suite 108
Atlanta, GA 30338 - Phone
- (770) 399-5055
- Fax
- (770) 399-9638
- NPI assigned
- Jun 6, 2008
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | RN081255 | GA | Primary |
Addresses
Primary practice location
#9 Dunwoody Park
Suite 108
Atlanta, GA 30338
Mailing address
#9 Dunwoody Park
Suite 108 Arbor OB GYN
Atlanta, GA 30338
Phone (770) 399-5055
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
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN081255 | GA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womencare PA | Past | Accepting new patients | |
| Unified Women'S Care of Georgia, LLC | Past | Accepting new patients |
Interoperability endpoints
- lisa.holt.1@5518.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Morrisville, NC
- NPI 1578812012
-
- Specialist
- Orlando, FL
- NPI 1366529042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212710400000",
"number": "1093974784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "#9 DUNWOODY PARK",
"address_2": "SUITE 108 ARBOR OB GYN",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30338",
"telephone_number": "770-399-5055",
"fax_number": "770-399-9638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#9 DUNWOODY PARK",
"address_2": "SUITE 108",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30338",
"telephone_number": "770-399-5055",
"fax_number": "770-399-9638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "LISA",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-06",
"last_updated": "2008-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "RN081255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.