Individual provider Active NPI

Nasha L Holt, M.D.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1639282809
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K4084 Issued in TX
Practice address
14800 San Pedro Ave
Suite 222
San Antonio, TX 78232-3733
Phone
(210) 490-3500
Fax
(210) 490-3510
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K4084 TX Primary

Addresses

Primary practice location

14800 San Pedro Ave
Suite 222
San Antonio, TX 78232-3733

Mailing address

14800 San Pedro Ave
Suite 222
San Antonio, TX 78232-3733
Phone (210) 490-3500

Other identifiers 1

IdentifierTypeStateIssuer
1922011774OtherTXMEDICARE NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040319000510 TX Practitioner - Family Practice 6709776966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14800 San Pedro Ave
Suite 222
San Antonio, TX 78232-3734
Phone (210) 490-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Headache and Migraine Institute of Texas, P.a. Family Medicine CurrentSince Mar 10, 2006 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Stone Oak Migraine & Headache Institute Past Accepting new patients

Locations

400 N Loop 1604 E
Ste 345
San Antonio, TX 78232
Phone (210) 402-2920

14800 San Pedro Ave
Ste 222
San Antonio, TX 78232
Phone (210) 490-3500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1639282809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14800 SAN PEDRO AVE",
            "address_2": "SUITE 222",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323733",
            "telephone_number": "210-490-3500",
            "fax_number": "210-490-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 SAN PEDRO AVE",
            "address_2": "SUITE 222",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323733",
            "telephone_number": "210-490-3500",
            "fax_number": "210-490-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "NASHA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K4084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1922011774",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.