Theresa R Holland, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

28129083A Issued in IN

Practice address

17 Red Oak LN
Carmel, IN 46033-1973

Phone

(317) 445-5334

NPI assigned

Feb 23, 2024

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1942066444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RED OAK LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460331973",
            "telephone_number": "317-445-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 RED OAK LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460331973",
            "telephone_number": "317-445-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "THERESA",
        "middle_name": "R",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "IN",
            "license": "28129083A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Alan Hohla, RPH
• Shawna Lee Hoke, PTA
• Emily Holcomb, DC
• Hobie Holden, PA
• Marabeth Holland, LMHC
• Catherine Hollibaugh, RBT
• Kaitlyn Anne Hollingsworth, FNP-BC
• Holly S. Coriell, O.D., P.C.
• Laura Elaine Holmes, MD
• April Holok

• Lactation Consultant (Registered Nurse) in Carmel, IN
• Providers in Carmel, IN by specialty
• Lactation Consultant (Registered Nurse) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.