Active NPI
Nicholas Holstein, CPS
- Peer Specialist
- San Antonio, TX
National Provider Identifier
1316410954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 1854 Lockhill Selma Rd Ste 102
San Antonio, TX 78213-1557 - Phone
- (210) 481-8335
- NPI assigned
- Jan 7, 2019
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | TX | Primary |
Addresses
Primary practice location
1854 Lockhill Selma Rd Ste 102
San Antonio, TX 78213-1557
Mailing address
10955 Wurzbach Rd Apt 603
San Antonio, TX 78230-2544
Phone (210) 589-6488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175T00000X | Medicaid | TX |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hug Me Ink | Peer Specialist | Past | 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 and National Provider Directory roles.
-
- Peer Specialist
- San Antonio, TX
- NPI 1467925958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1316410954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10955 WURZBACH RD APT 603",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782302544",
"telephone_number": "210-589-6488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1854 LOCKHILL SELMA RD STE 102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782131557",
"telephone_number": "210-481-8335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLSTEIN",
"first_name": "NICHOLAS",
"credential": "CPS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-07",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "175T00000X",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.