Individual provider Active NPI

Alisha Danielle Holt, DO

  • Pediatrics Physician
  • Tuscumbia, AL
National Provider Identifier
1851031348
Registry record updated Jun 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DO.3551 Issued in AL
Practice address
234 Keller Park Blvd
Tuscumbia, AL 35674-1417
Phone
(256) 381-6963
NPI assigned
Mar 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X DO.3551 AL Primary

Addresses

Primary practice location

234 Keller Park Blvd
Tuscumbia, AL 35674-1417

Mailing address

234 Keller Park Blvd
Tuscumbia, AL 35674-1417
Phone (256) 381-6963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220726003277 AL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 0143602961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO.3551ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Valley Pediatric Associatesinc. Pediatrics PastSince Jun 15, 2025 Accepting new patients
HH Health System - Shoals LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749340800000",
    "number": "1851031348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 KELLER PARK BLVD",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356741417",
            "telephone_number": "256-381-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 KELLER PARK BLVD",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356741417",
            "telephone_number": "256-381-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "ALISHA",
        "middle_name": "DANIELLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2025-06-08",
        "certification_date": "2025-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "DO.3551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscumbia, AL

Sources for this page

Verify at the official NPI Registry.