Active NPI
Eileen Holt, NP
- Family Nurse Practitioner
- Ellisville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2016005301
- Practice address
- 225 Clarkson Rd
Ellisville, MO 63011-2278 - Phone
- (636) 685-7715
- NPI assigned
- Mar 12, 2016
- Last updated
- Dec 24, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2016005301 | MO | Primary |
Addresses
Primary practice location
225 Clarkson Rd
Ellisville, MO 63011-2278
Mailing address
12855 N 40 Dr Ste 275
Saint Louis, MO 63141-8667
Phone (314) 395-7699
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nabil.ahmad@amr.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Southern Illinois University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
225 Clarkson Rd
Ellisville, MO 63011-2278
Phone (636) 685-7715
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westglen Family Physicians, LLC | Current | Accepting new patients | |
| Amr Pain & Spine Clinic LLC | Current | Accepting new patients |
Locations
225 Clarkson Rd
Ellisville, MO 63011
Phone (636) 230-5050
12855 N 40 Dr
Ste 275
Saint Louis, MO 63141
Phone (314) 312-4034
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Ellisville, MO
- NPI 1114957354
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Saint Louis, MO
- NPI 1396126280
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Luke's Hospital
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734998400000",
"number": "1629439054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12855 N 40 DR STE 275",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418667",
"telephone_number": "314-395-7699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 CLARKSON RD",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112278",
"telephone_number": "636-685-7715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "EILEEN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-12",
"last_updated": "2024-12-24",
"certification_date": "2024-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2016005301",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nabil.ahmad@amr.eclinicaldirectplus.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "12855 N 40 Dr Ste 275",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631418667",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ellisville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.