KYLE DAVID HOLST (NPI# 1760011829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760011829 |
Entity Type | Individual |
Full Name | KYLE DAVID HOLST |
Credential | CARC, CRPA, NYCPS |
Practice Address |
321 W Onondaga St Syracuse NY 13202-3207 |
Mailing Address |
101 Dell St # 3 Syracuse NY 13210-2101 |
Practice Telephone | 3155692358 |
Mailing Telephone | 3155692358 |
Enumeration Date | 2020-04-02 |
Last Update Date | 2020-04-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
321 W ONONDAGA ST |
City | SYRACUSE |
State | NY |
Zip Code | 13202-3207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174715114 | Zsuzsa Szombathyne Meszaros | Psychiatry & Neurology | 321 W Onondaga St, Suite 201, Syracuse, NY 13202-3207 | 2007-08-14 |
1710593090 | Sarah Rose Bennett | Social Worker | 321 W Onondaga St, Syracuse, NY 13202-3262 | 2020-09-22 |
1447865613 | Jaclyn Abbott | Counselor | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2020-09-14 |
1407461924 | Jillian Colby Deland | Social Worker | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2020-09-11 |
1114560182 | Michelle Kluczinske | Registered Nurse | 321 W Onondaga St, Syracuse, NY 13202-3262 | 2019-10-23 |
1730736711 | Nicole A Wenham | Counselor | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2019-08-23 |
1871148486 | Joshua David Salvage | Student in an Organized Health Care Education/Training Program | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2019-08-09 |
1659923845 | Alyssa Lynn Swierk | Social Worker | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2019-07-09 |
1497314728 | Jessica Kish | Counselor | 321 W Onondaga St, Syracuse, NY 13202-3262 | 2019-06-11 |
1063972529 | Kathleen Wittwer | Registered Nurse | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2019-03-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255804456 | Lisa Blachford | Registered Nurse | 421 Montgomery St Room 80, Syracuse, NY 13202 | 2019-01-10 |
1851873640 | Syracuse Community Health Center, Inc. | Case Management | 819 South Salina Street, Syracuse, NY 13202 | 2018-08-29 |
1245739713 | Telibra Lloyd | Counselor | 375 W Onondaga St Suite 10, Syracuse, NY 13202 | 2018-02-09 |
1326574534 | Wendell Covell | Social Worker | 50 Presidential Plaza, Jefferson Tower Suite Ll05, Syracuse, NY 13202 | 2017-05-08 |
1083165005 | Candy Herbert | Counselor | 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 | 2016-10-14 |
1427429760 | Joshua Caryl | Counselor | 319 East Water Street, Syracuse, NY 13202 | 2015-10-13 |
1093140956 | Jennifer B Mccaffrey | Nurse Practitioner | 421 Montgomery Street Room 80, Onondaga County Health Dept. Bureau of Disease Control, Syracuse, NY 13202 | 2013-09-11 |
1336581552 | Emily Renee Haggerty | Hospitalist | 500 Harrison St, 1705a, Syracuse, NY 13202 | 2013-07-30 |
1134470933 | Tanya Marie Harlec Mcguire | Genetic Counselor, MS | 90 Presdential Plaza Uhcc 3rd Fl., Regional Perinatal Center Suny Upstate Medical Ctr, Syracuse, NY 13202 | 2012-09-20 |
1104176320 | Mary Jo Maestri | Genetic Counselor, MS | 90 Presidential Plaza Uhcc- Perinatal Ceter, University Hospital/upstate Medical Center, Syracuse, NY 13202 | 2012-09-14 |
Find all providers in zip 13202 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447767025 | Reality Awareness Outreach Inc | Peer Specialist | 117 S Collingwood Ave, Syracuse, NY 13206 | 2018-01-04 |
1245849280 | Louis Shirley | Peer Specialist | 1045 James St, Syracuse, NY 13203-2730 | 2020-07-27 |
1922563949 | Michelle Lyla Vandee | Peer Specialist | 215 Wyoming St, Syracuse, NY 13204-2927 | 2019-02-04 |
1023573201 | Lauren Gee | Peer Specialist | 215 Wyoming St, Syracuse, NY 13204-2927 | 2019-02-01 |
1225586886 | Nathan Baird | Peer Specialist | 620 Madison St, Syracuse, NY 13210-2319 | 2016-09-13 |
1316495005 | Paul Tucci | Peer Specialist | 620 Madison St, Syracuse, NY 13210-2319 | 2016-09-12 |
1447706130 | Dennis Green | Peer Specialist | 620 Madison St, Syracuse, NY 13210-2319 | 2016-09-01 |
1952857781 | Ruth Ciciriello | Peer Specialist | 620 Madison St, Syracuse, NY 13210-2319 | 2016-08-31 |
1992251730 | Janette Chavan | Peer Specialist | 620 Madison St, Syracuse, NY 13210-2319 | 2016-08-31 |
1942755251 | Kirsten Hubel | Peer Specialist | 620 Madison St, Syracuse, NY 13210-2319 | 2016-08-17 |
Find all providers in SYRACUSE |
Please comment or provide details below to improve the information on KYLE DAVID HOLST.
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.