Active NPI
Lauren Holahan, PHD, OT/L
- Pediatric Occupational Therapist
- Durham, NC
National Provider Identifier
1710765375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2795
- Practice address
- 4428 Guess Rd
Durham, NC 27712-2620 - Phone
- (919) 428-7201
- NPI assigned
- Sep 15, 2023
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 2795 | NC | Primary |
Addresses
Primary practice location
4428 Guess Rd
Durham, NC 27712-2620
Mailing address
4428 Guess Rd
Durham, NC 27712-2620
Phone (919) 428-7201
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2795 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1710765375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4428 GUESS RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277122620",
"telephone_number": "919-428-7201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4428 GUESS RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277122620",
"telephone_number": "919-428-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLAHAN",
"first_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "PHD, OT/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-15",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NC",
"license": "2795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.