Individual provider Active NPI

Natalie Jill Holshouser, PTA

  • Skilled Nursing Facility
  • Mayfield, KY
National Provider Identifier
1972843324
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
A01516 Issued in KY
Practice address
523 Crowder Rd
523 Crowder Rd
Mayfield, KY 42066-4207
Phone
(270) 247-4873
NPI assigned
Feb 21, 2013
Last updated
Feb 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X A01516 KY Primary

Addresses

Primary practice location

523 Crowder Rd
523 Crowder Rd
Mayfield, KY 42066-4207

Mailing address

523 Crowder Rd
523 Crowder Rd
Mayfield, KY 42066-4207
Phone (270) 247-4873

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

State licenses

LicenseStateTypeSpecialty
A01516KYMDSkilled Nursing Facility

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1972843324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 CROWDER RD",
            "address_2": "523 CROWDER RD",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420664207",
            "telephone_number": "270-247-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 CROWDER RD",
            "address_2": "523 CROWDER RD",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420664207",
            "telephone_number": "270-247-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSHOUSER",
        "first_name": "NATALIE",
        "middle_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "A01516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.