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SANDRA HOLT NP
NPI 1689756454
Nurse Practitioner - Pediatrics in Providence, RI

Active since October 20, 2006
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903(401) 854-2504(401) 854-2519 Get Directions Write a Review

NPPES record last updated: August 27, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sandra Holt Np NPPES

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

SANDRA HOLT NP (NPI 1689756454) is an individual pediatrics provider in Providence, Rhode Island, licensed in Rhode Island (APRN00885) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1689756454
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSANDRA HOLTCredential: NP
Location Address593 EDDY ST, CLAVERICK 2Providence, RI 02903-4923
Mailing AddressPo Box 9484Providence, RI 02940-9484 · (401) 854-2500 · Fax (401) 854-2519
Phone(401) 854-2504
Fax(401) 854-2519
Sole ProprietorNo
Enumeration DateOctober 20, 2006
Last NPPES UpdateAugust 27, 2018
✔ NPI 1689756454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in RI · APRN00885✔ Licensed in RI · NPP37390
Also ListedRegistered NurseTaxonomy 163W00000X · License RN35082 (RI)
593 EDDY ST, Providence, RI 02903
Open in Google Maps ↗

Other Names 1

Former Name (1)Sandra Fulton

Other Identifiers 8

Other007058932RI · Medicare
Medicaid0710890MA
Other12/14/2006RI · Nhpri
Other1689756454RI · Npi
Other413721RI · Bcbsri
Other30578-7RI · Bluechip
Medicaid7058932RI
Other939025129RI · Ri Medicare Group Number

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEITH-AUSTIN SCARFO D.O.
Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Providence County (401) 444-3777
AILEEN HSUEH
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-8450
RHODE ISLAND HOSPITAL
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Providence County (401) 444-7585
DR. GA HIE NAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-5057
EUGENIE ATALLAH
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-2645
BRIAN CAO MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-4286
BRET CAULFIELD
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4000
JUNG HO GONG
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 793-2695

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 Sandra Holt's NPI number?

The NPI number for Sandra Holt is 1689756454. It was assigned to this individual provider in the NPPES registry on October 20, 2006. The provider is also known as Sandra Fulton.

Where is Sandra Holt located?

Sandra Holt practices at 593 Eddy St Claverick 2, Providence, RI 02903. The listed phone number is (401) 854-2504.

What is Sandra Holt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Sandra Holt was last updated on August 27, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.