Active NPI
Denise Holtz, RNFA
- Registered Nurse First Assistant
- Fairburn, GA
National Provider Identifier
1265644504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- RN155882
- Practice address
- 210 Hill Pine Rd
Fairburn, GA 30213-6052 - Phone
- (770) 241-8589
- NPI assigned
- May 7, 2007
- Last updated
- Aug 11, 2010
- 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 |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | RN155882 | GA | Primary |
Addresses
Primary practice location
210 Hill Pine Rd
Fairburn, GA 30213-6052
Mailing address
PO Box 664
Union City, GA 30291-0664
Phone (770) 241-8589
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN155882 | GA | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1265644504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 664",
"city": "UNION CITY",
"state": "GA",
"postal_code": "302910664",
"telephone_number": "770-241-8589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 HILL PINE RD",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302136052",
"telephone_number": "770-241-8589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTZ",
"first_name": "DENISE",
"credential": "RNFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "GA",
"license": "RN155882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.