Stacy Holder, PTA09

NPI: 1649554890

Stacy Holder, PTA09

Q: What is Stacy Holder's NPI number?

Stacy Holder's NPI number is 1649554890, a unique 10-digit identifier issued by CMS.

Q: What does Stacy Holder specialize in?

Stacy Holder specializes in Specialty not listed, taxonomy code 225200000X.

Q: Where does Stacy Holder practice?

Stacy Holder practices in Southaven, MS 38671-5885.

Q: When was Stacy Holder's NPI issued?

Stacy Holder's NPI was issued on October 6, 2011.

Q: What is Stacy Holder's provider type?

Stacy Holder is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderSpecialty not listed

NPI issued: October 6, 2011

Quick Facts

NPI Number

1649554890

TypeIndividual

StatusActive

SpecialtySpecialty not listed

Taxonomy225200000X — Specialty not listed

Phone

(662) 349-8787

StateMS

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1649554890)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (October 6, 2011)

Data source: CMS NPPES

Provider Overview

STACY HOLDER, PTA09 is a Healthcare provider based in Southaven, MS who has been registered with CMS since 2011. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1649554890

Provider TypeIndividual Provider

GenderFemale

CredentialPTA09

StatusActive

Enumeration DateOctober 6, 2011

Practice Location

CitySouthaven

StateMS

ZIP Code38671-5885

Phone(662) 349-8787

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code225200000X

License StateMS

Mailing Address

CitySouthaven

StateMS

ZIP Code38671-5885

Phone(662) 349-8787

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1649554890 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1649554890for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1649554890 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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