Katelyn Holt, DC
Individual provider Active NPI Chiropractor · Southside, AR
NPI 1801434642 · NPPES record last updated Jun 7, 2023
Key facts
- NPI
- 1801434642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 16231 (AR)
- Practice address
- 163 Heber Springs Road
Southside, AR 72501-8031 - Phone
- (870) 251-2560
- Fax
- (870) 251-3809
- NPI assigned
- Dec 11, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Chirpractic Care Inc
Practice addresses (Care Compare)
163 Heber Springs Rd
Southside, AR 72501-8031
Phone (870) 251-2560
60 Allen Chapel Rd
Southside, AR 72501-9787
Phone (870) 251-2560
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200305000627 | AR | Practitioner - Chiropractic | 8527495456 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16231 | AR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Chirpractic Care Inc. | Chiropractor | Current |
Accepting new patients |
Locations
60 Allen Chapel Rd
Southside, AR 72501
Phone (870) 251-2560
163 Heber Springs Rd
Southside, AR 72501
Phone (870) 251-2560
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 16231 | AR | Yes |
Addresses
Primary practice location
163 Heber Springs Road
Southside, AR 72501-8031
Mailing address
163 Heber Springs Road
Southside, AR 72501-8031
Phone (870) 251-2560
Other providers in Southside, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.