Individual provider Active NPI

Dionne Holt

  • Psychiatric/Mental Health Nurse Practitioner
  • Mountainside, NJ
National Provider Identifier
1477951440
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00542800 Issued in NJ
Practice address
173 Locust Ave
Mountainside, NJ 07092-2607
Phone
(908) 251-1644
NPI assigned
Dec 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00542800 NJ
Registered Nurse 163W00000X 26NO11830000 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00542800 NJ Primary

Addresses

Primary practice location

173 Locust Ave
Mountainside, NJ 07092-2607

Mailing address

173 Locust Ave
Mountainside, NJ 07092-2607
Phone (908) 251-1644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150309000129 NJ Practitioner - Nurse Practitioner 1759607823 Reassigns benefits to 1 organization
I20190408000211 NY Practitioner - Nurse Practitioner 1759607823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NO11830000NJMDRegistered Nurse
26NJ00542800NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whiteglove Health, Inc. PastSince Sep 16, 2013 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1477951440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 LOCUST AVE",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922607",
            "telephone_number": "908-251-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 LOCUST AVE",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922607",
            "telephone_number": "908-251-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "DIONNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00542800",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NO11830000",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00542800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountainside, NJ

Sources for this page

Verify at the official NPI Registry.