Harry Holt IV, RN

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Practice address

5122 N Avenida Largo
Tucson, AZ 85745-9528

Phone

(520) 981-3209

NPI assigned

May 4, 2021

Sex

Male

Sole proprietor

Yes

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

Credentials

Registered Nurse

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1114500394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 N AVENIDA LARGO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857459528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 N AVENIDA LARGO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857459528",
            "telephone_number": "520-981-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "HARRY",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vidahermosacarehome@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5122 N Avenida Largo",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857459528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charlotte Elizabeth Holst Reilley
• Lauren Holstein
• Bradley Wyatt Holt, M.D.
• Brent Marion Holt
• Devin Holt
• Nathan Daniel Holt III, DO
• Peggy Ann Holt, M.S., LPC, CTRS
• Xarles Xavier Holt, PT, DPT, SCS
• Ashley Rae Holten, OTR
• Amy Holthaus

• Assisted Living Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.