Active NPI
Desirea Raechelle Holsinger
- Personal Care Attendant
- Stout, OH
National Provider Identifier
1801416698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 1149 Johnson Run Rd
Stout, OH 45684-9639 - Phone
- (937) 217-4116
- NPI assigned
- Apr 21, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary | ||
| Licensed Practical Nurse | 164W00000X | 184855 | OH |
Addresses
Primary practice location
1149 Johnson Run Rd
Stout, OH 45684-9639
Mailing address
1149 Johnson Run Rd
Stout, OH 45684-9639
Phone (937) 217-4116
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 184855 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1801416698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1149 JOHNSON RUN RD",
"city": "STOUT",
"state": "OH",
"postal_code": "456849639",
"telephone_number": "937-217-4116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 JOHNSON RUN RD",
"city": "STOUT",
"state": "OH",
"postal_code": "456849639",
"telephone_number": "937-217-4116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLSINGER",
"first_name": "DESIREA",
"middle_name": "RAECHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-21",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "184855",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stout, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.