MS. TYRA MARIE HOLT PA-C NPI 1447958806

NPI Information

  • NPI: 1447958806
  • Provider Name: MS. TYRA MARIE HOLT, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2102 S DALE MABRY HWY
    TAMPA, FL
    ZIP 33629
  • Phone: (813) 798-1499

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NPI Details

MS. Tyra Marie Holt, PA-C is a medical physician assistant in Tampa, FL with 3 years of experience. MS. Tyra Marie Holt, PA-C NPI is 1447958806. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2102 S DALE MABRY HWY
TAMPA, FL
ZIP 33629-335
Phone: (813) 798-1499

The NPI 1447958806 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 2/15/2023 and was last updated on 3/30/2024.

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
1363AM0700XPhysician AssistantMedical9116988FLORIDAYes

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: 3/30/2025

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