Rebecca Barksdale Holt, PAC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

104140 Issued in NC

Practice address

4100 Wake Forest Rd
Raleigh, NC 27609-6227

Phone

(919) 872-3959

Fax

(919) 872-6066

NPI assigned

Apr 24, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1629034293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41008",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283091008",
            "telephone_number": "800-849-5609",
            "fax_number": "910-483-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 WAKE FOREST RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096227",
            "telephone_number": "919-872-3959",
            "fax_number": "919-872-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "REBECCA",
        "middle_name": "BARKSDALE",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "104140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1629034293",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Holt
• Kathryn Clarissa Holt, P-LCSW
• Kenneth A Holt, M.D.
• Maya Holt
• Patricia Holt
• Sarah Catherine Holt, MS, OTR/L
• Shannon Holt, OT
• Tanner Holt
• Windsor Austin Holt, MD
• Krysta Cosentino Holterman, PA-C

• Family Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.