Active NPI
Leroy Allen Holt
- Case Manager/Care Coordinator
- Clinton, ME
National Provider Identifier
1972805794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 21 Baker Street
40
Clinton, ME 04927-0040 - Phone
- (207) 426-8979
- NPI assigned
- Nov 30, 2010
- Last updated
- Nov 30, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
21 Baker Street
40
Clinton, ME 04927-0040
Mailing address
Post Office Box 40
21 Baker Street
Clinton, ME 04927-0040
Phone (207) 426-8979
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291075200000",
"number": "1972805794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "POST OFFICE BOX 40",
"address_2": "21 BAKER STREET",
"city": "CLINTON",
"state": "ME",
"postal_code": "049270040",
"telephone_number": "207-426-8979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 BAKER STREET",
"address_2": "40",
"city": "CLINTON",
"state": "ME",
"postal_code": "049270040",
"telephone_number": "207-426-8979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "LEROY",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-30",
"last_updated": "2010-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.