Samantha Christine Holzhauer, LPN

Primary specialty

Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X

License

2017030578 Issued in MO

Practice address

50 Meramec Trail Dr
Ballwin, MO 63021-3303

Phone

(636) 923-2396

Fax

(636) 923-2371

NPI assigned

Apr 5, 2022

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

State licenses

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1962143164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 TAHOE PL",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630693658",
            "telephone_number": "314-208-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MERAMEC TRAIL DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630213303",
            "telephone_number": "636-923-2396",
            "fax_number": "636-923-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZHAUER",
        "first_name": "SAMANTHA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "MO",
            "license": "2017030578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Sue Hoffmann, P.T.
• Erin Hogan, D.C.
• Lea Marie Hollenbeck, OT/L
• Hollman & Hollman
• Lee Hollman, PSY.D.
• Hometeam CDS LLC
• Hometeam Transistion Management Group, LLC
• Laura Hooper, AGNP
• Laura Fienup Hooper, M.S., CCC-SLP
• Mark T Houston, MD

• Gerontology Clinical Nurse Specialist in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Gerontology Clinical Nurse Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.