Sandra Holt, NP - Nurse Practitioner in Providence, RI

Sandra Holt, NP is a Nurse Practitioner - Pediatrics based in Providence, Rhode Island. Sandra Holt is licensed to practice in Rhode Island (license number APRN00885) and her current practice location is 593 Eddy St, Claverick 2, Providence, Rhode Island. She can be reached at her office (for appointments etc.) via phone at (401) 854-2504.

NPI number for Sandra Holt is 1689756454 and her current mailing address is Po Box 9484, Providence, Rhode Island. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689756454.

Contact Information

Sandra Holt, NP
593 Eddy St, Claverick 2,
Providence, RI 02903-4923
(401) 854-2504
(401) 854-2519

Map and Direction




Provider's Profile

Full NameSandra Holt
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location593 Eddy St, Providence, Rhode Island
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689756454
  • Provider Enumeration Date: 10/20/2006
  • Last Update Date: 08/27/2018

Medical Identifiers

Medical identifiers for Sandra Holt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689756454NPI-NPPES
0710890MedicaidMA
12/14/2006OtherRINHPRI
1689756454OtherRINPI
7058932MedicaidRI
939025129OtherRIRI MEDICARE GROUP NUMBER
007058932OtherRIMEDICARE
30578-7OtherRIBLUECHIP
413721OtherRIBCBSRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN35082 (Rhode Island)Secondary
363LP0200XNurse Practitioner - Pediatrics NPP37390 (Rhode Island)Secondary
363LP0200XNurse Practitioner - Pediatrics APRN00885 (Rhode Island)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. Sandra Holt 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 AddressPractice Location Address
Sandra Holt, NP
Po Box 9484,
Providence, RI 02940-9484

Ph: (401) 854-2500
Sandra Holt, NP
593 Eddy St, Claverick 2,
Providence, RI 02903-4923

Ph: (401) 854-2504

Reviews and Comments


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