Individual provider Active NPI

Elizabeth Elaine Holt, APRN

  • Adult Health Nurse Practitioner
  • Astoria, NY
National Provider Identifier
1285902122
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
306310 Issued in NY
Practice address
3501 30TH Ave Ste 201
Astoria, NY 11103-4662
Phone
(917) 983-7390
Fax
(917) 983-7393
NPI assigned
Dec 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 004860 CT
Women's Health Nurse Practitioner 363LW0102X 421112 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405112 NY
Adult Health Nurse Practitioner 363LA2200X 306310 NY Primary

Addresses

Primary practice location

3501 30TH Ave Ste 201
Astoria, NY 11103-4662

Mailing address

3811 Ditmars Blvd # 261
Astoria, NY 11105-2176

Other practice location 1

6207 Woodside Ave Ste 4
Woodside, NY 11377-3653
Phone (718) 898-5085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130920000122 NY Practitioner - Nurse Practitioner 8628212263 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
004860CTMDClinical Psychologist
306310NYMDInternal Medicine Physician
405112NYMDPsychiatric/Mental Health Nurse Practitioner
421112NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Neighborhood Services, Inc. CurrentSince Sep 26, 2024 Accepting new patients
Pleasant Street NP in Psychiatry and Adult Health PLLC CurrentSince Jul 16, 2026 Accepting new patients
Catholic Charities Neigborhood Services Past Accepting new patients
Mental Health Providers of Western Queens, Inc. Past Accepting new patients

Locations

3501 30th Ave
Ste 201
Astoria, NY 11103
Phone (718) 545-1620

191 Joralemon St
Brooklyn, NY 11201
Phone (718) 722-6000

1623 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 377-5755

191 Joralemon St
Fl 11
Brooklyn, NY 11201

6729 Myrtle Ave
Glendale, NY 11385
Phone (718) 456-7001

9114 37th Ave
Jackson Heights, NY 11372
Phone (718) 722-6001

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1285902122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 DITMARS BLVD # 261",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 30TH AVE STE 201",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034662",
            "telephone_number": "917-983-7390",
            "fax_number": "917-983-7393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6207 Woodside Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "113773653",
            "country_code": "US",
            "telephone_number": "718-898-5085",
            "fax_number": "718-898-5582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLT",
        "first_name": "ELIZABETH",
        "middle_name": "ELAINE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "CT",
            "license": "004860",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421112",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405112",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.