Angela M Holt, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NR00895000 Issued in NJ

Practice address

1617 N Front St
Harrisburg, PA 17102-2414

Phone

(717) 236-4682

Fax

(717) 236-2423

NPI assigned

Jan 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Turnersville Internal Medicine and Geriatrics

  • Primary Care Clinic/Center
  • Turnersville, NJ
  • NPI 1689767139
  NPD

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1316401268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 MANOR AVE",
            "city": "CARNEYS POINT",
            "state": "NJ",
            "postal_code": "080692920",
            "telephone_number": "856-535-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 N FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171022414",
            "telephone_number": "717-236-4682",
            "fax_number": "717-236-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NR00895000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ BON",
            "identifier": "26NJ00895000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1036439920001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Holland, M.DIV.
• Shea Hollenbach
• Kevin Scott Hollick, D.O.
• Tyler David Hollingsworth, CRNA
• Ktice Karyone Holmes
• James K Holt
• Troy Douglas Holtschulte, PT
• Holy Grace Home Care LLC
• Holy Spirit Health System
• Holy Spirit Hospital

• Family Nurse Practitioner in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.