Nicholas Holtgrieve, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATH.200496 Issued in LA

Practice address

1221 S. Clearview Parkway
Jefferson, LA 70121

Phone

(504) 280-3306

NPI assigned

Feb 23, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1497147839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15010 E 49TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641361334",
            "telephone_number": "816-838-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S. CLEARVIEW PARKWAY",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "70121",
            "telephone_number": "504-280-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTGRIEVE",
        "first_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-23",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AR",
            "license": "AT652",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "LA",
            "license": "ATH.200496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresita V Hernandez
• Blake Ryan Hockaday, MAT, LAT, ATC
• Liza Katherine Hoeffner, NP
• Alex Hollander
• Katie Hollingsworth, FNP-C
• Kerry Lee Honses
• Kenta Hosokawa, MAT, LAT, ATC
• Samin Houshyar, MD
• Daulton Huber
• Lauren Dayan Hunter, PHD, LPC

• Athletic Trainer in Jefferson, LA
• Providers in Jefferson, LA by specialty
• Athletic Trainer in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.