Individual provider Active NPI

Hilarie Nixon Holt, OD

  • Optometrist
  • Ridgeland, MS
National Provider Identifier
1508351628
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3458 Issued in TN
Practice address
301 Northlake Ave Ste 101
Ridgeland, MS 39157-1720
Phone
(601) 707-5255
NPI assigned
Jun 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3458 TN Primary

Addresses

Primary practice location

301 Northlake Ave Ste 101
Ridgeland, MS 39157-1720

Mailing address

120 District Blvd Apt 623
Jackson, MS 39211-7003
Phone (337) 377-9303

Other practice location 1

1365 S Germantown Rd
Germantown, TN 38138-2225
Phone (901) 683-7255

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

State licenses

LicenseStateTypeSpecialty
3458TNMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1530316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1508351628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DISTRICT BLVD APT 623",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392117003",
            "telephone_number": "337-377-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NORTHLAKE AVE STE 101",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571720",
            "telephone_number": "601-707-5255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1365 S Germantown Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381382225",
            "country_code": "US",
            "telephone_number": "901-683-7255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLT",
        "first_name": "HILARIE",
        "middle_name": "NIXON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-30",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.