Active NPI
Sydney Martha Johnson-Holt
- Acute Care Nurse Practitioner
- Minneapolis, MN
National Provider Identifier
1558280685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 2483004
- Practice address
- 720 Washington Ave SE Ste 200
Minneapolis, MN 55414-2924 - Phone
- (612) 884-0600
- NPI assigned
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 2483004 | MN | Primary |
Addresses
Primary practice location
720 Washington Ave SE Ste 200
Minneapolis, MN 55414-2924
Mailing address
5173 Yuma LN N
Plymouth, MN 55446-2015
Phone (763) 331-4382
Other practice location 1
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 672-6000
Other practice location 2
500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 273-0000
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1558280685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5173 YUMA LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554462015",
"telephone_number": "763-331-4382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 WASHINGTON AVE SE STE 200",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554142924",
"telephone_number": "612-884-0600"
}
],
"practiceLocations": [
{
"address_1": "2450 Riverside Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554541450",
"country_code": "US",
"telephone_number": "612-672-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Harvard St SE",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554550363",
"country_code": "US",
"telephone_number": "612-273-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON-HOLT",
"first_name": "SYDNEY",
"middle_name": "MARTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-13",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "MN",
"license": "2483004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.