1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DR. TERYN A HOLEMAN PHD MEDICAL STUDENT
NPI 1952120123
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT

Active since October 07, 2024PECOS Enrolled
1753 E BRYAN AVE, SALT LAKE CITY, UT 84108(520) 780-8170 Get Directions Write a Review

NPPES record last updated: October 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Teryn A Holeman Phd Medical Student NPPES

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

DR. TERYN A HOLEMAN PHD MEDICAL STUDENT (NPI 1952120123) is an individual student in an organized health care education/training program in Salt Lake City, Utah and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952120123
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. TERYN A HOLEMANCredential: PHD MEDICAL STUDENT
Location Address1753 E BRYAN AVESalt Lake City, UT 84108-2670
Mailing Address1753 E Bryan AveSalt Lake City, UT 84108-2670 · (520) 780-8170
Phone(520) 780-8170
Sole ProprietorYes
Enumeration DateOctober 7, 2024
Last NPPES UpdateOctober 27, 2024
NPPES CertifiedOctober 27, 2024
✔ NPI 1952120123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1753 E BRYAN AVE, Salt Lake City, UT 84108
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Teryn A Holeman Phd Medical Student is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Teryn Holeman's NPI number?

The NPI number for Teryn Holeman is 1952120123. It was assigned to this individual provider in the NPPES registry on October 7, 2024.

Where is Teryn Holeman located?

Teryn Holeman practices at 1753 E Bryan Ave, Salt Lake City, UT 84108. The listed phone number is (520) 780-8170.

What is Teryn Holeman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Teryn Holeman enrolled in Medicare?

Yes. Teryn Holeman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Teryn Holeman was last updated on October 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.