Casey Marie Holt

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-314458 Issued in GA

Practice address

1485 Trestle Rd
Locust Grove, GA 30248-4209

Phone

(814) 631-2433

NPI assigned

Jan 17, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1891556965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 TRESTLE RD",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302484209",
            "telephone_number": "814-631-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 TRESTLE RD",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302484209",
            "telephone_number": "814-631-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "CASEY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "GA",
            "license": "L-314458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre Clifford Harvey, PHARM.D
• Stephanie Jones Headen
• Sonja Henderson, RN
• Alicia Nicole Herndon, SURGICAL TECH
• Jimmy L Hightower Jr., PAC
• Hope Medical Transport Services
• Alexandra Nicole Houston, O.D.
• David Shannon Howell, M.D.
• Janice DK Ilori
• Impact Resources Solutions

• Lactation Consultant (Registered Nurse) in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• Lactation Consultant (Registered Nurse) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.