Carolyn Anne Holt, APRN

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

F300056 Issued in NY

Practice address

445 Saint Paul St
Medical, High Falls Brewing Co
Rochester, NY 14605-1775

Phone

(585) 263-9224

Fax

(585) 454-1878

NPI assigned

Jul 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Carolyn Anne Graham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

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.

• The Frederick Ferris Thompson Hospital

  • General Acute Care Hospital
  • Canandaigua, NY
  • NPI 1194776351
  NPD (past)
• The Frederick Ferris Thompson Hospital

  • Community/Retail Pharmacy
  • Victor, NY
  • NPI 1831914274
  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1649433723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 MOSELEY RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503060",
            "telephone_number": "585-729-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 SAINT PAUL ST",
            "address_2": "MEDICAL, HIGH FALLS BREWING CO",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146051775",
            "telephone_number": "585-263-9224",
            "fax_number": "585-454-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "CAROLYN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NY",
            "license": "F300056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "GRAHAM",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharda Nichole Holmes
• Stacy Lorraine Holmes
• Todd M Holmquist Jr., MD
• Daniel J Holmsten, RN
• Andrew D Holt, MD
• David R Holt, MD
• June Michelle Holt, LMSW
• Sheri A Holt, NP-C
• Katherine Holtby
• Tara Elizabeth Holter, M.D.

• Adult Health Clinical Nurse Specialist in Rochester, NY
• Providers in Rochester, NY by specialty
• Adult Health Clinical Nurse Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.