Active NPI
Meagan Nicole Holt, MS,OTR/L
- Occupational Therapist
- Tullahoma, TN
National Provider Identifier
1669014692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6393
- Practice address
- 2110 N Jackson St
Tullahoma, TN 37388-2208 - Phone
- (931) 455-5189
- Fax
- (931) 393-2455
- NPI assigned
- Oct 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6393 | TN | Primary |
Addresses
Primary practice location
2110 N Jackson St
Tullahoma, TN 37388-2208
Mailing address
121 11TH Ave NW
Winchester, TN 37398-1017
Phone (931) 308-3223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 446547 | Medicaid | TN |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6393 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franklin County Board of Education | Occupational Therapist | Past | Accepting new patients |
| Top Rehab Services, Inc. | Occupational Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Winchester, TN
- NPI 1003264540
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1669014692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 11TH AVE NW",
"city": "WINCHESTER",
"state": "TN",
"postal_code": "373981017",
"telephone_number": "931-308-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 N JACKSON ST",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373882208",
"telephone_number": "931-455-5189",
"fax_number": "931-393-2455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "MEAGAN",
"middle_name": "NICOLE",
"credential": "MS,OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-10",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "6393",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "446547",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.