Individual provider Active NPI

Nancy Holtzman, RN IBCLC RLC CPN

  • Lactation Consultant (Registered Nurse)
  • West Roxbury, MA
National Provider Identifier
1427440171
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
MA RN LICENSE: 19124 Issued in MA
Practice address
64 Ledge Hill Rd
West Roxbury, MA 02132-5027
Phone
(617) 803-5614
NPI assigned
Mar 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X MA RN LICENSE: 19124 MA Primary
Lactation Consultant (Registered Nurse) 163WL0100X IBCLC NUMBER: L-1457 MA

Addresses

Primary practice location

64 Ledge Hill Rd
West Roxbury, MA 02132-5027

Mailing address

64 Ledge Hill Rd
West Roxbury, MA 02132-5027
Phone (617) 803-5614

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
IBCLC NUMBER: L-1457MAMDLactation Consultant (Registered Nurse)
MA RN LICENSE: 19124MAMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1427440171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 LEDGE HILL RD",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021325027",
            "telephone_number": "617-803-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 LEDGE HILL RD",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021325027",
            "telephone_number": "617-803-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZMAN",
        "first_name": "NANCY",
        "credential": "RN IBCLC RLC CPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MA",
            "license": "MA RN LICENSE: 19124",
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MA",
            "license": "IBCLC NUMBER: L-1457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.