Active NPI
Monica Wilson Holt, FNP
- Family Nurse Practitioner
- Lake City, SC
National Provider Identifier
1902381791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21569
- Practice address
- 800 W Main St
Lake City, SC 29560-4400 - Phone
- (843) 977-7337
- Fax
- (843) 956-5415
- NPI assigned
- Sep 27, 2018
- Last updated
- Aug 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21569 | SC | Primary |
Addresses
Primary practice location
800 W Main St
Lake City, SC 29560-4400
Mailing address
800 W Main St
Lake City, SC 29560-4400
Phone (843) 977-7337
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21569 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elm Pediatrics, LLC | Family | Current | Accepting new patients |
| Elm Pediatrics, LLC | Current | Accepting new patients |
Locations
800 W Main St
Lake City, SC 29560
Phone (843) 977-7337
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rural Health Clinic/Center
- Lake City, SC
- NPI 1457047581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1902381791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W MAIN ST",
"city": "LAKE CITY",
"state": "SC",
"postal_code": "295604400",
"telephone_number": "843-977-7337",
"fax_number": "843-956-5415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W MAIN ST",
"city": "LAKE CITY",
"state": "SC",
"postal_code": "295604400",
"telephone_number": "843-977-7337",
"fax_number": "843-956-5415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "MONICA",
"middle_name": "WILSON",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-27",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "21569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, SC
- Katelyn Hand
- Amanda Miles Hanna
- Jami Nicole Hayes
- Healthcare Panascope Inc. (Dr. Ronald E. Mcnair Nursing & Rehab. Ctr.)
- Steven Craig Hobbs, OD OPTOMETRIST
- Alexandra Holub, M.S. CCC-SLP
- Hopehealth Inc (HopeHealth J. Paul Truluck School-based Health Center)
- Hopehealth, Inc
- Hopehealth, Inc (HopeHealth Dental Lake City)
- T'Auna Hudson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.