Active NPI
Dorothy J. Holt, CRNA
- Certified Registered Nurse Anesthetist
- Kirkwood, MO
National Provider Identifier
1114980125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 080214
- Practice address
- 525 Couch Ave
Kirkwood, MO 63122-5536 - Phone
- (573) 636-3483
- Fax
- (573) 636-5315
- NPI assigned
- Apr 10, 2006
- Last updated
- May 2, 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 080214 | MO | Primary |
Addresses
Primary practice location
525 Couch Ave
Kirkwood, MO 63122-5536
Mailing address
1445 Christy Dr
Jefferson City, MO 65101-2853
Phone (573) 636-7716
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00389527 | Other | MO | RR MEDICARE |
| 919687251 | Medicaid | MO |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Partners, LTD. | Past | Accepting new patients | |
| Midwest Anesthesia Inc. | Past | Accepting new patients | |
| Mid-Missouri Anesthesia Consultants PC | Past | Accepting new patients | |
| Forest Park Anesthesia, Inc | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1043270465
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1962432914
-
- Anesthesiology Physician
- Jefferson City, MO
- NPI 1326091059
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1285717587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209686400000",
"number": "1114980125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 CHRISTY DR",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651012853",
"telephone_number": "573-636-7716",
"fax_number": "573-636-5315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 COUCH AVE",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631225536",
"telephone_number": "573-636-3483",
"fax_number": "573-636-5315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "DOROTHY",
"middle_name": "J.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2008-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "080214",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00389527",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "919687251",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kirkwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.