Individual provider Active NPI

Miranda Holt, C.O.T.A

  • Long Term Care Hospital
  • San Francisco, CA
National Provider Identifier
1417316365
Registry record updated Feb 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
2444 Issued in CA
Practice address
1575 7TH Ave
San Francisco, CA 94122-3704
Phone
(877) 366-2580
NPI assigned
Feb 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 2444 CA Primary

Addresses

Primary practice location

1575 7TH Ave
San Francisco, CA 94122-3704

Mailing address

1630 Piedmont PL
Carrollton, TX 75007-5084
Phone (318) 537-3975

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

NPI Registry JSON

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

{
    "created_epoch": "1456012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456012800000",
    "number": "1417316365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 PIEDMONT PL",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075084",
            "telephone_number": "318-537-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 7TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223704",
            "telephone_number": "877-366-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "MIRANDA",
        "credential": "C.O.T.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-21",
        "last_updated": "2016-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "CA",
            "license": "2444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.