Lisa M Holaday, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

E1635 Issued in AR

Practice address

1600 Arkansas Blvd Ste 100
Texarkana, AR 71854-1681

Phone

(870) 330-9158

Fax

(870) 779-1187

NPI assigned

Jun 19, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Southeast Clinic

  • Clinic/Center
  • Monticello, AR
  • NPI 1730117755
  NPD (past) Authorized official
• Drew Professional Services

  • Multi-Specialty Clinic/Center
  • Monticello, AR
  • NPI 1316131048
  NPD (past)
• Jefferson Management Services Inc

  • Clinic/Center
  • Monticello, AR
  • NPI 1669591053
  NPD (past)
• Medical Associates PLC

  • Internal Medicine Physician
  • Pine Bluff, AR
  • NPI 1386670057
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1346285533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ARKANSAS BLVD STE 100",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541681",
            "telephone_number": "870-330-9158",
            "fax_number": "870-779-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ARKANSAS BLVD STE 100",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541681",
            "telephone_number": "870-330-9158",
            "fax_number": "870-779-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLADAY",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "E1635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Catherine Higgins, FNP-C
• Shavon Lashelle Hill, LPC
• Teeauna Hill
• Thomas Michael Hillis, MD
• Denise Hitt
• Home Delivery Incontinent Supplies Co Inc
• Amy Anthony Hooper, L.P.C.
• Hope Urgent Care PLLC
• Loyce Hopkins, PLMSW
• Hospice of Texarkana, Inc.

• Specialist in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.