Individual provider Active NPI

Lora Lynn Holt, FNP

  • Family Nurse Practitioner
  • Livingston, TX
National Provider Identifier
1972060390
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139474 Issued in TX
Practice address
400 Ogletree Dr
Livingston, TX 77351-6783
Phone
(936) 328-8812
Fax
(936) 328-8815
NPI assigned
Feb 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP139474 TX Primary

Addresses

Primary practice location

400 Ogletree Dr
Livingston, TX 77351-6783

Mailing address

400 Ogletree Dr
Livingston, TX 77351-6783
Phone (936) 328-8812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230327002777 TX Practitioner - Nurse Practitioner 5799962379 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Coast Medical Center Crockett IncGroup PAC ID 3173884152, shared by 3 NPIs, 7 clinicians

Practice addresses (Care Compare)

1050 E Loop
Crockett, TX 75835-1814
Phone (979) 543-6251

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crockett Medical Center, LLC CurrentSince Feb 1, 2023 Accepting new patients
Woodrome Medical PA CurrentSince Dec 11, 2023 Accepting new patients
Mid Coast Medical Center Crockett Inc CurrentSince Feb 1, 2023 Accepting new patients
Mid Coast Medical Center Crockett Inc CurrentSince Feb 1, 2023 Accepting new patients
Breedlove Wound Care of Texas LLC Family CurrentSince Feb 1, 2025 Accepting new patients

Locations

1050 E Loop 304
Ste 201
Crockett, TX 75835
Phone (936) 546-3890

1050 E Loop 304
Crockett, TX 75835
Phone (936) 544-2236

1100 E Loop 304
Crockett, TX 75835
Phone (936) 546-3862

810 N Hill St
Ste 3
Tatum, TX 75691
Phone (903) 947-2020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17821/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHCBCA
  • FHIR API: https://fhir-myrecord.cerner.com/r4/b4348b5b-bd9c-4bea-a3a3-0691137fbf46/

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1972060390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 OGLETREE DR",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773516783",
            "telephone_number": "936-328-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 OGLETREE DR",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773516783",
            "telephone_number": "936-328-8812",
            "fax_number": "936-328-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "LORA",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

Verify at the official NPI Registry.