SHANNON L HOLT (NPI# 1033153085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033153085 |
| Entity Type | Individual |
| Full Name | SHANNON L HOLT |
| Credential | M.D. |
| Practice Address |
1115 Woodland Dr Elizabethtown KY 42701-2749 |
| Practice Telephone | 2707695963 |
| Practice Fax Number | 2707699051 |
| Mailing Telephone | 2707695963 |
| Mailing Fax Number | 2707699051 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2009-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
37416 | KY | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
37416 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64085442 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013287937 | Shannon Holt | Licensed Practical Nurse | 2676 Breezy Way, Cincinnati, OH 45239-5517 | 2012-01-09 |
| 1275503153 | Shannon Holt | Occupational Therapist | 2418 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6480 | 2006-01-24 |
| Street Address |
1115 WOODLAND DR |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-2749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013992460 | Amy Preen | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2005-12-08 |
| 1245709849 | Lauren Ford | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2018-11-13 |
| 1295190312 | Kimberly S. Barnes | Advanced Practice Midwife | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2015-12-16 |
| 1215229240 | Tracy Johnson | Nurse Practitioner | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2011-05-10 |
| 1114199189 | Jason Edward Goodman | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2008-03-29 |
| 1629125083 | Chantel Eve Unseld | Nurse Practitioner | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2007-01-05 |
| 1427151430 | Myra A Henderson | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
| 1497858641 | David A Hamilton Sr. | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
| 1760585988 | Elizabethtown Physicians for Women,psc | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
| 1831292077 | Lucian Y Moreman II | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326354549 | William Florent Brassine | Obstetrics & Gynecology | 625 Eldorado Drive, Elizabethtown, KY 42701 | 2010-08-25 |
| 1578663043 | Dennis Gerald Shoff | Obstetrics & Gynecology | 1310 Woodland Drive, Elizabethtown, KY 42701 | 2006-09-25 |
| 1386808095 | Dennis G Shoff Md Psc | Obstetrics & Gynecology | 1310 Woodland Drive, Elizabethtown, KY 42701 | 2008-07-11 |
| 1760585988 | Elizabethtown Physicians for Women,psc | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043638620 | Adair County Hospital District | Obstetrics & Gynecology | 902 Westlake Dr Ste 107, Columbia, KY 42728-1149 | 2014-04-01 |
| 1831465822 | Jere Calvin Robertson Sr. | Obstetrics & Gynecology | 608 Deepwood Dr, Hopkinsville, KY 42240-1226 | 2012-03-24 |
| 1700071560 | Mark J. Yurchisin | Obstetrics & Gynecology | 720 2nd Ave Ste 202, Bowling Green, KY 42101-1778 | 2007-09-13 |
| 1831247345 | Southern Women's Care Obstetrics & Gynecology, Pllc | Obstetrics & Gynecology | 67 Kingswood Dr Ste A, Campbellsville, KY 42718-9647 | 2007-01-08 |
| 1831268572 | Dennis R. Faulkner | Obstetrics & Gynecology | 347 Bogle St Ste A, Somerset, KY 42503-2873 | 2006-11-07 |
| 1851480008 | Bernard L Hayden | Obstetrics & Gynecology | 3929 Old Us Hwy 45 South, Paducah, KY 42003 | 2006-10-12 |
| 1124119946 | William Francis Sweeney | Obstetrics & Gynecology | 311 A Radio Park Dr, Richmond, KY 40475 | 2006-09-27 |
| 1902906092 | George M Kudmani | Obstetrics & Gynecology | 9822 3rd Street Rd, Suite 306, Louisville, KY 40272-2847 | 2006-09-25 |
| 1659485357 | Jerald M Ford | Obstetrics & Gynecology | 2245 Winchester Ave Ste 1, Suite 150, Ashland, KY 41101-7848 | 2006-08-18 |
| 1134147325 | Susan P Hertweck | Obstetrics & Gynecology | 3991 Dutchmans Ln Ste 303, Louisville, KY 40207-4723 | 2006-07-17 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
Please comment or provide details below to improve the information on SHANNON L HOLT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.