Individual provider Active NPI

Trudi Kay Holt, M.D.

  • Emergency Medicine Physician
  • Front Royal, VA
National Provider Identifier
1962496455
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036308 Issued in CT
Practice address
1000 N Shenandoah Ave
Front Royal, VA 22630-3547
Phone
(540) 636-0300
NPI assigned
Sep 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036308 CT Primary

Addresses

Primary practice location

1000 N Shenandoah Ave
Front Royal, VA 22630-3547

Mailing address

2418 Jones Rd
Winchester, VA 22602-6603
Phone (214) 912-5811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120404000961 VA Practitioner - Emergency Medicine 6103867270 Reassigns benefits to 2 organizations
I20160511000385 WV Practitioner - Emergency Medicine 6103867270 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036308CTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Memorial Hospital, Inc. CurrentSince Feb 21, 2012 Accepting new patients
Warren Memorial Hospital, Inc. Emergency Medicine CurrentSince Feb 21, 2012 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Feb 24, 2012 Accepting new patients
Hampshire Memorial Hospital, Inc. CurrentSince Mar 7, 2016 Accepting new patients
War Memorial Hospital, Inc. CurrentSince Apr 4, 2019 Accepting new patients
War Memorial Hospital Inc CurrentSince Apr 4, 2019 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Feb 24, 2012 Accepting new patients
Hampshire Memorial Hospital, Inc. CurrentSince Mar 7, 2016 Accepting new patients
Waimea Emergency Services LLC Emergency Medicine Past Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

220 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 536-0307

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

1 Healthy Way
Berkeley Springs, WV 25411
Phone (304) 258-1234

329 Sunrise Blvd
Romney, WV 26757
Phone (304) 822-4932

363 Sunrise Blvd
Romney, WV 26757
Phone (304) 822-4561

Organizations & group practices 9

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1962496455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 JONES RD",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226026603",
            "telephone_number": "214-912-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N SHENANDOAH AVE",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303547",
            "telephone_number": "540-636-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "TRUDI",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "036308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

Verify at the official NPI Registry.