Individual provider Active NPI

Sarah J Holm, LPN

  • Licensed Practical Nurse
  • Saint Albans, VT
National Provider Identifier
1235803396
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
025.0007280 Issued in VT
Practice address
242 S Main St
Saint Albans, VT 05478-1801
Phone
(802) 370-3545
Fax
(802) 524-0055
NPI assigned
Aug 3, 2021
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 025.0007280 VT Primary

Addresses

Primary practice location

242 S Main St
Saint Albans, VT 05478-1801

Mailing address

242 S Main St
Saint Albans, VT 05478-1801
Phone (802) 370-3545

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
025.0007280VTMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Baart Behavioral Health Services, Inc. PastSince Aug 8, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1235803396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 S MAIN ST",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781801",
            "telephone_number": "802-370-3545",
            "fax_number": "802-524-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 S MAIN ST",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781801",
            "telephone_number": "802-370-3545",
            "fax_number": "802-524-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLM",
        "first_name": "SARAH",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VT",
            "license": "025.0007280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.