MS. PAMELA S HOLT NP NPI 1194917500

NPI Information

  • NPI: 1194917500
  • Provider Name: MS. PAMELA S HOLT, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1906 BELLEVIEW AVE SE
    ROANOKE, VA
    ZIP 24014
  • Phone: (540) 981-8574

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NPI Details

MS. Pamela S Holt, NP is a family nurse practitioner in Roanoke, VA with 19 years of experience. MS. Pamela S Holt, NP NPI is 1194917500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014-838
Phone: (540) 981-8574
Fax: (540) 983-1133

The NPI 1194917500 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/10/2007 and was last updated on 5/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily0024167490VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10024167490OTHERVIRGINIALICENSE
2014904C21MEDICARE PIN
31194917500MEDICAIDVIRGINIA
4014903C19MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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