Active NPI
Eric Holt, RESPIRATORY THERAPIS
- Critical Care Certified Respiratory Therapist
- Jackson, MS
National Provider Identifier
1164433959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Certified Respiratory Therapist
- Practice address
- 404 Kia Lea Dr
Jackson, MS 39212-3278 - Phone
- (601) 346-9423
- Fax
- (601) 346-9423
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Critical Care Certified Respiratory Therapist | 2278C0205X | MS | Primary |
Addresses
Primary practice location
404 Kia Lea Dr
Jackson, MS 39212-3278
Mailing address
404 Kia Lea Dr
Jackson, MS 39212-3278
Phone (601) 346-9423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04381879 | Medicaid | MS |
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": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1164433959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 KIA LEA DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392123278",
"telephone_number": "601-346-9423",
"fax_number": "601-346-9423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 KIA LEA DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392123278",
"telephone_number": "601-346-9423",
"fax_number": "601-346-9423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "ERIC",
"name_prefix": "Mr.",
"credential": "RESPIRATORY THERAPIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2278C0205X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Critical Care",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04381879",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.