MRS. KATIE LYNNE HOLDER


Address: 1307 8th Ave., Suite 506, Fort Worth, TX 76104-4142
Phone: 8173326092

MRS. KATIE LYNNE HOLDER (NPI# 1326287665) 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) 1326287665
Entity Type Individual
Full Name MRS. KATIE LYNNE HOLDER
Credential FNP
Practice Address 1307 8th Ave.
Suite 506
Fort Worth
TX 76104-4142
Mailing Address P. O. Box 961205
Fort Worth
TX 76161-1205
Practice Telephone 8173326092
Practice Fax Number 8173326015
Mailing Telephone 8177408400
Mailing Fax Number 8173326015
Enumeration Date 2009-02-10
Last Update Date 2011-09-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
675806 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 213477701 05

Office Location

Street Address 1307 8TH AVE.,
SUITE 506
City FORT WORTH
State TX
Zip Code 76104-4142

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104030782 Thomas M. Ratino Pain Medicine 1307 8th Ave., Suite 506, Fort Worth, TX 76104-4142 2007-05-10
1427068477 Paul A Grant Sr. Pain Medicine 1307 8th Ave., Suite 506, Fort Worth, TX 76104-4142 2006-08-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417556341 Sarah R Tabor Nurse Practitioner 4819 El Campo Ave, Fort Worth, TX 76107-4917 2020-10-21
1336747963 Thomas Liles Nurse Practitioner 4 Carlson Ct, Fort Worth, TX 76119-5901 2020-10-15
1518565597 Khyatiben Harsh Parikh Nurse Practitioner 8121 Belgian Blue Ct, Fort Worth, TX 76131-1734 2020-10-13
1225645906 Manju Karki K C Nurse Practitioner 4812 Meadow Falls Dr # A, Fort Worth, TX 76244-2308 2020-09-28
1497361778 Mulikat Dossou Nurse Practitioner 8024 Valley Crest Dr, Fort Worth, TX 76120-5651 2020-09-22
1275148793 Bianca Adrianna Agnello Nurse Practitioner 8465 Boat Club Rd Ste 115, Fort Worth, TX 76179-3676 2020-09-11
1356955363 Alba C. Rivas Nurse Practitioner 6958 Legato Ln, Fort Worth, TX 76134-3727 2020-09-07
1043824139 Traci D Huff Nurse Practitioner 7121 Sundance Ln, Fort Worth, TX 76179-2533 2020-09-04
1669085437 Ryan Bourgeois Nurse Practitioner 2917 Crocket Street, Fort Worth, TX 76107 2020-08-31
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Competitor

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City FORT WORTH
Zip Code 76104

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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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