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DR. SHELLEY HOLT
NPI 1477090041
Prevention Professional in San Bernardino, CA

Active since January 20, 2017
17573 CHERVIL LN, SAN BERNARDINO, CA 92407(909) 544-6482 Get Directions Write a Review

NPPES record last updated: January 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shelley Holt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHELLEY HOLT (NPI 1477090041) is an individual prevention professional provider in San Bernardino, California, licensed in California (0000000) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1477090041
Entity TypeIndividualFemale
Primary Taxonomy405300000X
Provider Legal NameDR. SHELLEY HOLT
Location Address17573 CHERVIL LNSan Bernardino, CA 92407-9068
Mailing Address17573 Chervil LnSan Bernardino, CA 92407-9068 · (909) 544-6482
Phone(909) 544-6482
Sole ProprietorYes
Enumeration DateJanuary 20, 2017
✔ NPI 1477090041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
License✔ Licensed in CA · 0000000
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
17573 CHERVIL LN, San Bernardino, CA 92407
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelley Holt's NPI number?

The NPI number for Shelley Holt is 1477090041. It was assigned to this individual provider in the NPPES registry on January 20, 2017.

Where is Shelley Holt located?

Shelley Holt practices at 17573 Chervil Ln, San Bernardino, CA 92407. The listed phone number is (909) 544-6482.

What is Shelley Holt's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

When was this NPI record last updated?

The NPPES record for Shelley Holt was last updated on January 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.