Active NPI
Laura Holt, FNP-BC
- Family Nurse Practitioner
- Oxford, MI
National Provider Identifier
1497153159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704275167
- Practice address
- 72 S Washington St
Suite 202
Oxford, MI 48371-6421 - Phone
- (248) 628-0220
- Fax
- (248) 628-0226
- NPI assigned
- Dec 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704275167 | MI | Primary |
Addresses
Primary practice location
72 S Washington St
Suite 202
Oxford, MI 48371-6421
Mailing address
2022 Somerville Dr
Oxford, MI 48371-5932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independence Urgent Care | Current | Accepting new patients | |
| Clarkston Internal Medicine, P.C. | Current | Accepting new patients | |
| Wellstreet Urgent Care of Michigan | Past | Accepting new patients |
Locations
7192 N Main St
Clarkston, MI 48346
Phone (248) 384-8600
7188 N Main St
Clarkston, MI 48346
Phone (248) 333-1170
Interoperability endpoints
- lholt@cim.gwaydirect.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Clarkston, MI
- NPI 1417085085
-
- Urgent Care Clinic/Center
- Clarkston, MI
- NPI 1215269618
-
- Internal Medicine Physician
- Bloomfield Hills, MI
- NPI 1518186758
-
- Non-Pharmacy Dispensing Site
- Troy, MI
- NPI 1649952052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418256000000",
"number": "1497153159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2022 SOMERVILLE DR",
"city": "OXFORD",
"state": "MI",
"postal_code": "483715932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 S WASHINGTON ST",
"address_2": "SUITE 202",
"city": "OXFORD",
"state": "MI",
"postal_code": "483716421",
"telephone_number": "248-628-0220",
"fax_number": "248-628-0226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "LAURA",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-11",
"last_updated": "2014-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704275167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.