Active NPI
Christoper Lynn Holt
- Personal Care Attendant
- Washington, DC
National Provider Identifier
1588220321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 3503 22ND St SE
Washington, DC 20020-6152 - Phone
- (202) 629-1890
- NPI assigned
- May 17, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
3503 22ND St SE
Washington, DC 20020-6152
Mailing address
1414 Southview Dr Apt 418
Oxon Hill, MD 20745-4061
Phone (202) 438-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5699 | Medicaid | DC |
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": "1558051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558051200000",
"number": "1588220321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 SOUTHVIEW DR APT 418",
"city": "OXON HILL",
"state": "MD",
"postal_code": "207454061",
"telephone_number": "202-438-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3503 22ND ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200206152",
"telephone_number": "202-629-1890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "CHRISTOPER",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-17",
"last_updated": "2019-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5699",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.