Active NPI
Peter Holtz, CRNA
- Certified Registered Nurse Anesthetist
- Eagle Pass, TX
National Provider Identifier
1477552172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP114181
- Practice address
- 3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852-5893 - Phone
- (830) 773-5321
- NPI assigned
- Jul 15, 2005
- Last updated
- Nov 30, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R32442 | NM | |
| Certified Registered Nurse Anesthetist | 367500000X | AP114181 | TX | Primary |
Addresses
Primary practice location
3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852-5893
Mailing address
3204 Rayburn St
Las Vegas, NM 87701-5124
Phone (573) 686-5550
Other practice location 1
1010 Spruce St
Espanola, NM 87532-3456
Phone (573) 686-5550 ext. 101
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
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlsbad Medical Center LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Roswell Clinic Corp | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Espanola, NM
- NPI 1558361089
-
- Anesthesiology Physician
- Carlsbad, NM
- NPI 1518904168
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Roswell, NM
- NPI 1649267618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1477552172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3204 RAYBURN ST",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877015124",
"telephone_number": "573-686-5550",
"fax_number": "573-686-2139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 N FOSTER MALDONADO BLVD",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788525893",
"telephone_number": "830-773-5321"
}
],
"practiceLocations": [
{
"address_1": "1010 Spruce St",
"address_purpose": "LOCATION",
"city": "Espanola",
"state": "NM",
"postal_code": "875323456",
"country_code": "US",
"telephone_number": "573-686-5550 x101",
"fax_number": "573-686-2139",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLTZ",
"first_name": "PETER",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "R32442",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP114181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle Pass, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.