SANDRA HOLT NP NPI 1689756454

NPI Information

NPI: 1689756454
Provider Name: SANDRA HOLT, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
593 EDDY ST
CLAVERICK 2
PROVIDENCE, RI
ZIP 02903
Phone: (401) 854-2504
Get Directions

Sandra Holt, NP is a pediatrics nurse practitioner in Providence, RI. Sandra Holt, NP NPI is 1689756454. 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:

593 EDDY ST
CLAVERICK 2
PROVIDENCE, RI
ZIP 02903-923
Phone: (401) 854-2504
Fax: (401) 854-2519

The enumeration date for this NPI number is 10/20/2006 and was last updated on 8/27/2018.

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
1	163W00000X	Registered Nurse		RN35082	RHODE ISLAND	No
2	363LP0200X	Nurse Practitioner	Pediatrics	NPP37390	RHODE ISLAND	No
3	363LP0200X	Nurse Practitioner	Pediatrics	APRN00885	RHODE ISLAND	Yes

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
1	007058932	OTHER	RHODE ISLAND	MEDICARE
2	0710890	MEDICAID	MASSACHUSETTS
3	12/14/2006	OTHER	RHODE ISLAND	NHPRI
4	1689756454	OTHER	RHODE ISLAND	NPI
5	413721	OTHER	RHODE ISLAND	BCBSRI
6	30578-7	OTHER	RHODE ISLAND	BLUECHIP
7	7058932	MEDICAID	RHODE ISLAND
8	939025129	OTHER	RHODE ISLAND	RI MEDICARE GROUP NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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