Michael Sean Holtfoth, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

333306 Issued in NY

Practice address

7331 N Main Street Ext
Hornell, NY 14843-9678

Phone

(607) 281-7471

NPI assigned

Jul 28, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1801405675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5088 PURDY CREEK RD # RE",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148439785",
            "telephone_number": "607-654-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 N MAIN STREET EXT",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148439678",
            "telephone_number": "607-281-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTFOTH",
        "first_name": "MICHAEL",
        "middle_name": "SEAN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "333306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MyURMedicine",
            "affiliation": "N",
            "address_1": "7331 N Main Street Ext",
            "city": "Hornell",
            "state": "NY",
            "country_code": "US",
            "postal_code": "148439678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sara Christine Hess, MS TSSLD CCC-SLP
• Sierra Nicole Hockaday, PA-C
• Katelin Hodgkins
• Jessica A Hogle, PA-C
• Betty L Holden, LPN
• Home & Health Care Services, Inc.
• Kimberly Hoover, RPA-C
• Michael Hornbeck
• Hornell City School District
• Hornell City School District

• Licensed Practical Nurse in Hornell, NY
• Providers in Hornell, NY by specialty
• Licensed Practical Nurse in New York

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