Individual provider Active NPI

Nathaniel Holtzman, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Coolidge, AZ
National Provider Identifier
1992470116
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95018009 Issued in CA
Practice address
985 N Arizona Blvd
Coolidge, AZ 85128-3726
Phone
(928) 216-3681
NPI assigned
Aug 10, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95018009 CA Primary

Addresses

Primary practice location

985 N Arizona Blvd
Coolidge, AZ 85128-3726

Mailing address

15615 Alton Pkwy Ste 250
Irvine, CA 92618-7308
Phone (888) 588-8995

Other practice location 1

15615 Alton Pkwy Ste 250
Irvine, CA 92618-7308
Phone (888) 588-8995

Other names 1

  • Mr. Nathan Holtzman Other name

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95018009CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Health PLC Psychiatric/Mental Health CurrentSince Jan 5, 2025 Accepting new patients

Locations

985 N Arizona Blvd
Coolidge, AZ 85128
Phone (928) 216-2991

Organizations & group practices 1

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": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1992470116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15615 ALTON PKWY STE 250",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187308",
            "telephone_number": "888-588-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 N ARIZONA BLVD",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "851283726",
            "telephone_number": "928-216-3681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15615 Alton Pkwy Ste 250",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926187308",
            "country_code": "US",
            "telephone_number": "888-588-8995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLTZMAN",
        "first_name": "NATHANIEL",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95018009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATHAN",
            "last_name": "HOLTZMAN",
            "prefix": "MR.",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coolidge, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.