T.W. Holst Group LLC

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

Legal business name

T.W. HOLST GROUP LLC

Practice address

4949 W la Puenta Ave
Laveen, AZ 85339-3176

Phone

(503) 931-7902

NPI assigned

Apr 10, 2024

Organization subpart

No

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

Authorized official

Name

Tyler William Holst, RN FIRST ASSISTANTNPI 1043077340

Title

Owner

Phone

(503) 931-7902

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler William Holst

  • Registered Nurse First Assistant
  • Oceanside, CA
  • NPI 1043077340
  NPD Authorized official

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717286400000",
    "number": "1740033430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 W LA PUENTA AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 W LA PUENTA AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393176",
            "telephone_number": "503-931-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.W. HOLST GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-06-02",
        "certification_date": "2024-06-02",
        "status": "A",
        "authorized_official_last_name": "HOLST",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-931-7902",
        "authorized_official_credential": "RN FIRST ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse First Assistant in Laveen, AZ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2024; 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.