Active NPI
Kaitlyn Holman
- Social Worker
- Overland Park, KS
National Provider Identifier
1083389985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12915
- Practice address
- 6400 W 110TH St Ste 202
Overland Park, KS 66211-1585 - Phone
- (913) 346-1516
- NPI assigned
- Aug 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Social Worker | 104100000X | 12915 | KS | Primary |
Addresses
Primary practice location
6400 W 110TH St Ste 202
Overland Park, KS 66211-1585
Mailing address
6400 W 110TH St Ste 202
Overland Park, KS 66211-1585
Phone (913) 346-1516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12915 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1083389985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 W 110TH ST STE 202",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111585",
"telephone_number": "913-346-1516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 W 110TH ST STE 202",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111585",
"telephone_number": "913-346-1516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMAN",
"first_name": "KAITLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-12",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "12915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.