STEPHANIE JO HOLT


Address: 2817 New Pinery Rd, Portage, WI 53901-9240
Phone: 6087424131

STEPHANIE JO HOLT (NPI# 1164047015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164047015
Entity Type Individual
Full Name STEPHANIE JO HOLT
Credential NP
Practice Address 2817 New Pinery Rd
Portage
WI 53901-9240
Practice Telephone 6087424131
Mailing Telephone 6087424131
Enumeration Date 2020-06-16
Last Update Date 2020-09-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 10273-33 WI Physician Assistants & Advanced Practice Nursing Providers

Other Providers STEPHANIE HOLT

NPI Name Taxonomy Address Enumeration
1912288739 Stephanie Holt Speech-Language Pathologist 1955 Jadwin Ave, Suite 355, Richland, WA 99354-2265 2011-09-07
1366450157 Stephanie R Holt Optometrist 600 Louis Drive, Suite 203a, Warminster, PA 18974-2847 2006-08-04
1942850110 Stephanie Holt Student in an Organized Health Care Education/Training Program 2525 N Chester Ave, Bakersfield, CA 93308-1770 2019-09-18
1750802385 Stephanie Michelle Holt Technician, Other 815 W 5th North St, Morristown, TN 37814-3810 2017-07-05
1124560529 Stephanie Lee Holt Counselor 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 2016-11-16
1427508399 Stephanie Holt Physician Assistant 747 Broadway, Seattle, WA 98122-4379 2016-10-04
1992150833 Stephanie Holt Occupational Therapy Assistant 900 Virginia Ave, Alexandria, VA 22302-3200 2016-04-28
1982098828 Stephanie Holt Internal Medicine 5145 S College Rd, Wilmington, NC 28412-2207 2015-03-27
1366852600 Stephanie Holt Pharmacist 134 W 1180 N Ste 12, Tooele, UT 84074-1483 2014-05-07
1780936641 Stephanie D. Holt Pediatrics 3601 The Vanderbilt Clinic, Nashville, TN 37232-5100 2012-10-02

Office Location

Street Address 2817 NEW PINERY RD
City PORTAGE
State WI
Zip Code 53901-9240

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174506307 James T Gariti Sr. Emergency Medicine 2817 New Pinery Rd, Divine Savior Healthcare Inc, Portage, WI 53901-9257 2005-11-22
1881208635 Sophie M Tessner Pharmacist 2817 New Pinery Rd, Portage, WI 53901-9240 2020-08-31
1770132268 Anna Carole Hormig Registered Nurse 2817 New Pinery Rd, Portage, WI 53901-9240 2019-09-06
1790338655 Andrea Olsen Occupational Therapist 2817 New Pinery Rd, Portage, WI 53901-9240 2019-07-19
1316590417 Nicole Rae Sletten Occupational Therapy Assistant 2817 New Pinery Rd, Portage, WI 53901-9240 2019-07-18
1851944078 Andrew Larson Physical Therapist 2817 New Pinery Rd, Portage, WI 53901-9240 2019-07-17
1780236067 Danielle Debruyne Physical Therapist 2817 New Pinery Rd, Portage, WI 53901-9240 2019-07-16
1063077055 Dillon Via Physician Assistant 2817 New Pinery Rd, Portage, WI 53901-9240 2019-05-06
1659843886 Andrew Benton Padley Registered Nurse 2817 New Pinery Rd, Portage, WI 53901-9240 2018-12-28
1861987257 Christine M Whelley Nurse Practitioner 2817 New Pinery Rd, Portage, WI 53901 2018-06-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740710748 Robert James Corliss Internal Medicine St. Vincent Fmc, 140east Cook St., Portage, WI 53901 2017-06-13
1639328867 Casey Jo Ambort Speech-Language Pathologist 626 East Slifer St, Portage, WI 53901 2008-09-11
1871767400 Planned Parenthood of Wi, Inc Non-Pharmacy Dispensing Site 132 W. Cook St., Portage, WI 53901 2008-04-15
1881872158 Marta Jean Jindra Physical Therapist 626 E Slifer Street, Portage, WI 53901 2008-02-08
1699953976 Lana Marie Edwards Speech-Language Pathologist 626 East Slifer Street, Portage, WI 53901 2008-02-08
1134314552 Kristina Hellenbrand Physical Therapist 2639 New Pinery Road, Suite 2, Portage, WI 53901 2007-09-10
1689727810 Gregory Allan Bindl Chiropractor 2121new Pinery Rd, Portage, WI 53901 2007-01-19
1720149156 Timothy J Rosin Dds Sc Dentist 2570 New Pinery Rd, Portage, WI 53901 2006-12-12
1710083779 Currani Seubert Dental Office LLC Dentist 260 W Cook St, Portage, WI 53901 2006-09-16
1225090525 University of Wisconsin Medical Foundation Inc Durable Medical Equipment & Medical Supplies 2977 Cty Hwy Cx, Portage, WI 53901 2006-04-04
Find all providers in zip 53901

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275627713 Mary Sullivan Nurse Practitioner 8001 Angling Road, Portage, MI 49024 2006-10-02
1730151978 Julie Ann Olechnowicz Nurse Practitioner 8075 Creekside Dr Ste 120, Portage, MI 49024-5390 2006-02-02
1255333860 Bonita J O'reilly Nurse Practitioner 8191 Moorsbridge Rd Ste A, Portage, MI 49024-7417 2005-08-12
1174185771 Michael David Mccallister Nurse Practitioner 3770 Glenkerry Ct, Portage, MI 49024-0700 2019-07-03
1144880881 Christina M Kemple-wascher Nurse Practitioner 7775 Angling Rd, Portage, MI 49024-7427 2019-06-14
1669936498 Krista S Nguyen Nurse Practitioner 3691 Willowcreek Rd, Portage, IN 46368-5076 2019-01-25
1861987257 Christine M Whelley Nurse Practitioner 2817 New Pinery Rd, Portage, WI 53901 2018-06-27
1356851570 Laura L Noonan Nurse Practitioner 2817 New Pinery Rd, Portage, WI 53901-9240 2017-10-02
1336663053 Lana K Bretz Nurse Practitioner 2725 Airview Blvd Ste 105, Portage, MI 49002-1804 2017-08-03
1942743281 Rachael B Booth Nurse Practitioner 2825 Hunters Trl, Portage, WI 53901-3429 2016-11-18
Find all providers in PORTAGE

Competitor

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City PORTAGE
Zip Code 53901

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Dataset Information

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.

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