Individual provider Active NPI

Anita Jean Holtz, MD

  • Family Medicine Physician
  • San Felipe, NM
National Provider Identifier
1679679245
Registry record updated Sep 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2004-0512 Issued in NM
Practice address
Cedar Street #4 San Felipe Pueblo
Box 4344
San Felipe, NM 87001-4529
Phone
(505) 867-2739
Fax
(505) 867-6527
NPI assigned
Sep 14, 2006
Last updated
Sep 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2026

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 MD2004-0512 NM Primary

Addresses

Primary practice location

Cedar Street #4 San Felipe Pueblo
Box 4344
San Felipe, NM 87001-4529

Mailing address

1700 Cerrillos Rd
Santa Fe, NM 87505-3554
Phone (505) 988-9821

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
I20050331000973 TX Practitioner - Family Practice 6901875525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Washington University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Fe Indian HospitalGroup PAC ID 7719883289, 19 clinicians

Practice addresses (Care Compare)

1700 Cerrillos Rd
Santa Fe, NM 87505-3026
Phone (505) 946-9206

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2004-0512NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Fe Indian Hospital CurrentSince Jul 25, 2007 Accepting new patients
Santa Clara Health Center PastSince Jan 19, 2012 Accepting new patients
Santo Domingo Health Clinic Past Accepting new patients

Locations

400 State Road 30
Espanola, NM 87532
Phone (505) 367-3730

1700 Cerrillos Rd
Santa Fe, NM 87505
Phone (505) 946-9206

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790467200000",
    "number": "1679679245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CERRILLOS RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053554",
            "telephone_number": "505-988-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CEDAR STREET #4 SAN FELIPE PUEBLO",
            "address_2": "BOX 4344",
            "city": "SAN FELIPE",
            "state": "NM",
            "postal_code": "870014529",
            "telephone_number": "505-867-2739",
            "fax_number": "505-867-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZ",
        "first_name": "ANITA",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2004-0512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Felipe, NM

Sources for this page

Verify at the official NPI Registry.