Active NPIIndividual provider

Stacy D Holtz, PA-C

Physician Assistant in Waterbury, Connecticut

NPI Number1487637674
Practice location
64 Robbins St, Suite 7004, Waterbury, CT 06721
Fax
203-573-6555
Last updated
July 13, 2026

Stacy D. Holtz is a Physician Assistant based in Waterbury, CT. Stacy D. Holtz practices in Waterbury, CT and has the professional credentials of PA-C. The NPI Number for Stacy D. Holtz is 1487637674 and holds a License No. 000716 (CT). The current practice location address for Stacy D. Holtz is 64 Robbins St, Suite 7004, Waterbury, CT 06721 and can be reached out via phone at 203-573-7307 and via fax at 203-573-6555.

Provider Profile Details

NPI Number
1487637674
Provider Name
Stacy D. Holtz
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
64 Robbins St, Suite 7004, Waterbury, CT 06721
Phone Number
203-573-7307
Fax Number
203-573-6555
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
November 22, 2005
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
64 Robbins St
Suite 7004
Waterbury, CT 06721
Zip
06721
Phone Number
203-573-7307
Fax Number
203-573-6555
Waterbury, CT 06721Get directions →

Provider Business Mailing Address Details

Address
245 Jeremy Swamp RD
Southbury, CT 06488-2360
City
Southbury
State
CT
Zip
06488-2360
Phone Number
203-267-5212
Fax Number
203-267-5212

License Information

License Number
000716
License State
CT
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stacy D Holtz, PA-C?

The NPI number of Stacy D Holtz, PA-C is 1487637674. It was assigned on November 22, 2005 and is currently active in the NPPES registry.

What is the specialty of Stacy D Holtz, PA-C?

Stacy D Holtz, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 000716.

Where does Stacy D Holtz, PA-C practice?

The practice location is 64 Robbins St, Suite 7004, Waterbury, CT 06721. The office can be reached at 203-573-7307 (phone) or 203-573-6555 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487637674 directly on the NPPES registry website.

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