Active NPI
Laura Anne Holt, CRNP, DNP
- Primary Care Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1801265103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- SP015303
- Practice address
- 401 W Allegheny Ave
Philadelphia, PA 19133-3644 - Phone
- (215) 291-2500
- Fax
- (215) 291-2587
- NPI assigned
- Sep 17, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | SP015303 | PA | Primary |
Addresses
Primary practice location
401 W Allegheny Ave
Philadelphia, PA 19133-3644
Mailing address
1412-22 Fairmount Avenue
Philadelphia, PA 19130-2908
Phone (215) 599-4851
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1801265103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412-22 FAIRMOUNT AVENUE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191302908",
"telephone_number": "215-599-4851",
"fax_number": "215-232-4093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W ALLEGHENY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191333644",
"telephone_number": "215-291-2500",
"fax_number": "215-291-2587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "LAURA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "CRNP, DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-17",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "PA",
"license": "SP015303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.