Anita Lynn Holbrook

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

088456 Issued in MO

Practice address

4603 Natural Bridge Ave
Saint Louis, MO 63115-1922

Phone

(314) 833-4603

NPI assigned

Jun 28, 2020

Last updated

Jun 28, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593302400000",
    "number": "1710504576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4603 NATURAL BRIDGE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631151922",
            "telephone_number": "314-833-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 NATURAL BRIDGE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631151922",
            "telephone_number": "314-833-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "ANITA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-28",
        "last_updated": "2020-06-28",
        "certification_date": "2020-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "MO",
            "license": "088456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Lynn Hohnstrater, OTRL
• Jim Hok, PHARMD.
• Mary Catherine Hoke, MSW LCSW PHD
• Tanner Hoke, MD
• Alexander Keenan Holbrook, DO
• Jordan Holbrook
• Holbrooks Counseling and Consulting
• Diane C Holbrooks, LCSW
• Holden Hearts in-Home Services
• Brianna Holden, MSOT, OTR/L

• Prosthetics Case Management in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Prosthetics Case Management in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2020; 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.