Jean A Holthaus, CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

NP-06838 Issued in OH

Practice address

4015 Executive Park Dr
Ste 406
Cincinnati, OH 45241-4017

Phone

(513) 569-6747

Fax

(513) 569-6988

NPI assigned

May 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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

• Andrew D Grubbs

  • Geriatric Medicine (Internal Medicine) Physician
  • Cincinnati, OH
  • NPI 1942245626
  NPD (past)
• Skilled Care Pharmacy,LLC

  • Durable Medical Equipment & Medical Supplies
  • Mason, OH
  • NPI 1437324522
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1619929437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632778",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632778",
            "telephone_number": "513-891-7574",
            "fax_number": "513-793-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 EXECUTIVE PARK DR",
            "address_2": "STE 406",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452414017",
            "telephone_number": "513-569-6747",
            "fax_number": "513-569-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTHAUS",
        "first_name": "JEAN",
        "middle_name": "A",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP-06838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2592494",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00287513",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Holt, LPN
• Zachary Christopher Holt, M.D.
• Holte Holding Group, Inc.
• Kelly Brianna Holtel, RN
• Karen Holtgrefe, PT
• Kimberly Rae Holthaus, PT
• Lori Rene Holthaus
• Lisa Holthus, PHARMD
• Gregg B Holtkamp, DDS
• Isabella Marie Holtkamp

• Adult Health Nurse Practitioner in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.