Tara D Holy, RDN, LD is a
Dietitian, Registered based in Edwardsburg, Michigan. Tara D Holy is licensed to practice in Michigan (license number 1025875) and her current practice location is
26878 White Oak St, Edwardsburg, Michigan. She can be reached at her office (for appointments etc.) via phone at
(989) 330-5292.
NPI number for Tara D Holy is 1154044071 and her current mailing address is 26878 White Oak St, Edwardsburg, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154044071.
Healthcare Provider's Profile
Full Name | Tara D Holy |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 26878 White Oak St, Edwardsburg, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154044071
- Provider Enumeration Date: 09/26/2022
- Last Update Date: 09/26/2022
Medical Identifiers
Medical identifiers for Tara D Holy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154044071 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1025875 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tara D Holy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tara D Holy, RDN, LD 26878 White Oak St, Edwardsburg, MI 49112-9631 Ph: (989) 330-5292 | Tara D Holy, RDN, LD 26878 White Oak St, Edwardsburg, MI 49112-9631 Ph: (989) 330-5292 |
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