Tyrin W Holt

Primary specialty

SpecialistTaxonomy code 174400000X

License

823477505 Issued in TX

Practice address

1540 Berckmans Rd
Fort Worth, TX 76120-1500

Phone

(817) 308-1806

NPI assigned

Nov 21, 2017

Last updated

Nov 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Brooke Haven Care Home Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brooke Haven Care Home LLC

  dba Brooke Haven Care Home

  • Specialist
  • Fort Worth, TX
  • NPI 1417440488
  NPD (past) Authorized official

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1518471986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 COTTAGE PARK CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760138087",
            "telephone_number": "817-308-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 BERCKMANS RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761201500",
            "telephone_number": "817-308-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "TYRIN",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "823477505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE HAVEN",
            "last_name": "CARE HOME",
            "credential": "BHCH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Holt Pelvic Health & Wellness
• Allison K Holt, PNP
• Avery Holt
• Jennifer Holt, DPT
• Shea Ryan Holt, M.D.
• Taylor Leanne Holthofer, DNP-A, CRNA
• Austin Joseph Holtz, DO
• Holy Trinity Angels Palliative and Hospice Care Inc (Halo Hospice)
• Jessica Holy, MS,RD,LD
• Laura Ashley Holy, P.T., D.P.T.

• Specialist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.