Individual provider Active NPI

Stephanie Lynn Holthaus, RN

  • Registered Nurse
  • Sidney, OH
National Provider Identifier
1134043953
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
286308 Issued in OH
Practice address
202 W Poplar St
Sidney, OH 45365-2773
Phone
(937) 492-2778
Fax
(937) 498-7013
NPI assigned
Aug 5, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 286308 OH Primary

Addresses

Primary practice location

202 W Poplar St
Sidney, OH 45365-2773

Mailing address

202 W Poplar St
Sidney, OH 45365-2773
Phone (937) 492-2778

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

NPI Registry JSON

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1134043953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W POPLAR ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652773",
            "telephone_number": "937-492-2778",
            "fax_number": "937-498-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W POPLAR ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652773",
            "telephone_number": "937-492-2778",
            "fax_number": "937-498-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTHAUS",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "286308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.