Active NPI
Alan McKim Holtzman, CRNA
- Certified Registered Nurse Anesthetist
- Kenner, LA
National Provider Identifier
1659344703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 03435
- Practice address
- 5409 Cocos Plumosas Dr
Kenner, LA 70065-1521 - Phone
- (504) 888-9812
- NPI assigned
- Feb 9, 2006
- Last updated
- Apr 9, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 03435 | LA | Primary |
Addresses
Primary practice location
5409 Cocos Plumosas Dr
Kenner, LA 70065-1521
Mailing address
5409 Cocos Plumosas Dr
Kenner, LA 70065-1521
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009933583 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03435 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanderbilt University Medical Center | Past | Accepting new patients | |
| Vanderbilt University | Past | Accepting new patients | |
| Tuhc Anesthesiology Group LLC | Past | Accepting new patients | |
| East Jefferson Ambulatory Surgery Center | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Ambulatory Surgical Clinic/Center
- Metairie, LA
- NPI 1992788772
-
- Anesthesiology Physician
- New Orleans, LA
- NPI 1760435432
-
dba Vanderbilt Medical Group
- Internal Medicine Physician
- Nashville, TN
- NPI 1235154972
-
dba Vanderbilt Medical Group
- Internal Medicine Physician
- Nashville, TN
- NPI 1104202761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239235200000",
"number": "1659344703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5409 COCOS PLUMOSAS DR",
"city": "KENNER",
"state": "LA",
"postal_code": "700651521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5409 COCOS PLUMOSAS DR",
"city": "KENNER",
"state": "LA",
"postal_code": "700651521",
"telephone_number": "504-888-9812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTZMAN",
"first_name": "ALAN",
"middle_name": "MCKIM",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2009-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "03435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009933583",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.