Victoria Holmquist

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

104955 Issued in MN

Practice address

6776 Lake Dr
Lino Lakes, MN 55014-1191

Phone

(651) 784-7007

NPI assigned

Dec 21, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advance Speech Therapy, LLC

  • Speech-Language Pathologist
  • Lino Lakes, MN
  • NPI 1215144654
  NPD
• Advance Therapy

  • Speech-Language Pathologist
  • Lino Lakes, MN
  • NPI 1043644784
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1073978953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 UNIVERSITY AVE NE APT 3",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6776 LAKE DR",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550141191",
            "telephone_number": "651-784-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMQUIST",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "104955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Path Chiropractic and Wellness Center
• Karissa Kay Heck, LPCC
• Rachelle M Henkel, MSW
• Joyce Marie Hennes, OTR/L
• Jennifer Briley Brown Holloway, MA, LPCC
• Carlee Cheyenne Huesman, RN-BSN, DNP, FNP-C
• Emily Jane Iniguez, OTR/L
• Kaelyn Layell Isaacson
• Aaron B Jennissen, PHARMD
• Jennifer Mae Jensen, CCC-SLP

• Pediatric Occupational Therapist in Lino Lakes, MN
• Providers in Lino Lakes, MN by specialty
• Pediatric Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.