Individual provider Active NPI

John Hayden Holtzclaw, AU.D.

  • Audiologist
  • Bossier City, LA
National Provider Identifier
1679069819
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80958 Issued in TX
Practice address
2449 Hospital Dr Ste 280
Bossier City, LA 71111-1900
Phone
(318) 212-7288
Fax
(318) 212-7295
NPI assigned
Jul 10, 2018
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80958 TX Primary

Addresses

Primary practice location

2449 Hospital Dr Ste 280
Bossier City, LA 71111-1900

Mailing address

2449 Hospital Dr Ste 280
Bossier City, LA 71111-1900
Phone (318) 212-7288

Other identifiers 1

IdentifierTypeStateIssuer
80958OtherTXTEXAS AUDIOLOGIST LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210303003449 LA Practitioner - Qualified Audiologist 1850634072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Bossier ENT and Allergy InstituteGroup PAC ID 9537586920, 3 clinicians

Practice addresses (Care Compare)

2449 Hospital Dr
Suite 280
Bossier City, LA 71111-1900
Phone (318) 212-7288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8704LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
WK Bossier ENT & Allergy Institute CurrentSince Dec 1, 2020 Accepting new patients
WK Neurology Clinic PastSince Dec 1, 2020 Accepting new patients

Locations

2449 Hospital Dr
Ste 280
Bossier City, LA 71111
Phone (318) 212-7850

2449 Hospital Dr
Ste 440
Bossier City, LA 71111
Phone (318) 212-7288

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

Interoperability endpoints

  • Direct secure messaging: jholtzcla@direct.wkhs.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1679069819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR STE 280",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711111900",
            "telephone_number": "318-212-7288",
            "fax_number": "318-212-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR STE 280",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711111900",
            "telephone_number": "318-212-7288",
            "fax_number": "318-212-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZCLAW",
        "first_name": "JOHN",
        "middle_name": "HAYDEN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS AUDIOLOGIST LICENSE",
            "identifier": "80958",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.