Individual provider Active NPI

Patricia Anne Holtz, LAC

  • Acupuncturist
  • Poughkeepsie, NY
National Provider Identifier
1154679439
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
001126 Issued in NY
Practice address
696 Dutchess Tpke
Canterbury Plaza
Poughkeepsie, NY 12603-6444
Phone
(845) 518-4542
NPI assigned
Aug 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 001126 NY Primary

Addresses

Primary practice location

696 Dutchess Tpke
Canterbury Plaza
Poughkeepsie, NY 12603-6444

Mailing address

PO Box 1452
Pleasant Valley, NY 12569-1452
Phone (845) 518-4542

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

State licenses

LicenseStateTypeSpecialty
001126NYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345161600000",
    "number": "1154679439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1452",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125691452",
            "telephone_number": "845-518-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 DUTCHESS TPKE",
            "address_2": "CANTERBURY PLAZA",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126036444",
            "telephone_number": "845-518-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZ",
        "first_name": "PATRICIA",
        "middle_name": "ANNE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-17",
        "last_updated": "2012-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.