Individual provider Active NPI

Laura Holt, FNP-BC

  • Family Nurse Practitioner
  • Oxford, MI
National Provider Identifier
1497153159
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704275167 Issued in MI
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

Updated by the provider on Dec 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170606000350 MI Practitioner - Nurse Practitioner 3779873070 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Urgent Care CurrentSince May 1, 2017 Accepting new patients
Clarkston Internal Medicine, P.C. CurrentSince May 1, 2017 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.