DWIGHT TYLER HOLT (NPI# 1295986115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295986115 |
Entity Type | Individual |
Full Name | DWIGHT TYLER HOLT |
Credential | FNP |
Practice Address |
3333 Silas Creek Pkwy Winston Salem NC 27103-3013 |
Mailing Address |
3333 Silas Creek Parkway 6th Floor Winston-salem NC 27103 |
Practice Telephone | 3367186535 |
Practice Fax Number | 3367186518 |
Mailing Telephone | 3367186535 |
Mailing Fax Number | 3367186518 |
Enumeration Date | 2008-10-09 |
Last Update Date | 2013-06-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 0024169113 | VA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
124918 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3333 SILAS CREEK PKWY |
City | WINSTON SALEM |
State | NC |
Zip Code | 27103-3013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700880440 | Joy L Csikos | Physician Assistant | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2005-06-10 |
1861092421 | Madison Ann Cline | Physician Assistant | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2020-10-31 |
1285241083 | Erin Elphick | Physician Assistant | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2020-09-25 |
1851909626 | Alex Joseph Holton | Registered Nurse | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2020-07-17 |
1497370191 | Karen Shugart | Nurse Practitioner | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2020-06-09 |
1831721299 | Brianna Elaine Marks | Nurse Practitioner | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2020-02-04 |
1952946659 | Jennifer Michelle Lucio | Nurse Practitioner | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2019-11-18 |
1336799527 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2019-09-19 |
1467001503 | Hannah Dibble Palmer | Nurse Practitioner | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2019-09-11 |
1659926012 | Jamie Kornelis Hobson | Registered Nurse | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2019-08-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
Find all providers in zip 27103 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619576857 | Candace Allen | Nurse Practitioner | 1215 W Clemmonsville Rd, Winston Salem, NC 27127-4521 | 2020-10-20 |
1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
1427604883 | Jeanette Renea Torain | Nurse Practitioner | 145 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6983 | 2019-08-12 |
1841853876 | Sarah Monzella Pack | Nurse Practitioner | 3878 Oxford Station Way Ste A, Winston Salem, NC 27103-1340 | 2019-04-16 |
1720547425 | Ya Huster Taylor | Nurse Practitioner | 1005 Treble Ct, Winston Salem, NC 27127-5971 | 2019-03-13 |
1710450127 | Assumpta Kagaba | Nurse Practitioner | 3811 White Petals Ct, Winston Salem, NC 27107-6052 | 2019-01-08 |
1982189460 | Erica Segers | Nurse Practitioner | 4157 Kennison Village Dr, Winston Salem, NC 27127-6694 | 2018-10-01 |
1710433495 | Ikeshia Knight | Nurse Practitioner | 1831 Cahill Dr, Winston Salem, NC 27127-8828 | 2016-08-31 |
1487023495 | Porcial Washington Wilson | Nurse Practitioner | 755 Highland Oaks Dr Ste 202, Winston Salem, NC 27103-7106 | 2015-09-20 |
1316323124 | Elizabeth Arpe Goodman | Nurse Practitioner | 191 Wallburg High Point Rd, Winston Salem, NC 27107-9835 | 2015-08-04 |
Find all providers in WINSTON SALEM |
City | WINSTON SALEM |
Zip Code | 27103 |
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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.