Individual provider Active NPI

Jennifer Rachel Holtz, PCS

  • Personal Care Attendant
  • Hawthorne, NV
National Provider Identifier
1619738150
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
5398PCS-5 Issued in NV
Practice address
200 S a St
Hawthorne, NV 89415-8941
Phone
(775) 945-2461
Fax
(775) 945-0744
NPI assigned
Jan 22, 2024
Last updated
Jan 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 5398PCS-5 NV Primary
Homemaker 376J00000X NU

Addresses

Primary practice location

200 S a St
Hawthorne, NV 89415-8941

Mailing address

PO Box 1510
Hawthorne, NV 89415-1510
Phone (775) 945-2461

Other names 1

  • Jennifer Munro Former name

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

State licenses

LicenseStateTypeSpecialty
5398PCS-5NVMDPersonal Care Attendant

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1619738150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "HAWTHORNE",
            "state": "NV",
            "postal_code": "894151510",
            "telephone_number": "775-945-2461",
            "fax_number": "775-945-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S A ST",
            "city": "HAWTHORNE",
            "state": "NV",
            "postal_code": "894158941",
            "telephone_number": "775-945-2461",
            "fax_number": "775-945-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZ",
        "first_name": "JENNIFER",
        "middle_name": "RACHEL",
        "credential": "PCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NV",
            "license": "5398PCS-5",
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MUNRO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hawthorne, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.