Active NPI
Michelle Denise Holder, NPC
- Psychiatric/Mental Health Nurse Practitioner
- Washington, DC
National Provider Identifier
1346595162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN1046479
- Practice address
- 2001 L St NW Ste 500
Washington, DC 20036-4955 - Phone
- (855) 921-0500
- NPI assigned
- Jul 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN1046479 | DC | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | AC001900 | MD | |
| Adult Health Nurse Practitioner | 363LA2200X | F306049-1 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 0024173710 | VA | |
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00379000 | NJ |
Addresses
Primary practice location
2001 L St NW Ste 500
Washington, DC 20036-4955
Mailing address
2001 L St NW Ste 500
Washington, DC 20036-4955
Phone (855) 921-0500
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC001900 | MD | MD | Adult Health Nurse Practitioner |
| 0024173710 | VA | MD | Adult Health Nurse Practitioner |
| RN1046479 | DC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Dermatology of Tidewater LLC | 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.
-
- Dermatology Physician
- Norfolk, VA
- NPI 1801238472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1346595162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 L ST NW STE 500",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200364955",
"telephone_number": "855-921-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 L ST NW STE 500",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200364955",
"telephone_number": "855-921-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDER",
"first_name": "MICHELLE",
"middle_name": "DENISE",
"credential": "NPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-18",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DC",
"license": "RN1046479",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "AC001900",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F306049-1",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "VA",
"license": "0024173710",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00379000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.