Active NPI
Kami Holmes, LPN
- Licensed Practical Nurse
- Vernal, UT
National Provider Identifier
1114491032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 9010838-3101
- Practice address
- 1140 W 500 S Ste 9
Vernal, UT 84078-2912 - Phone
- (435) 789-6300
- Fax
- (435) 725-6325
- NPI assigned
- Jan 14, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 9010838-3101 | UT | Primary |
Addresses
Primary practice location
1140 W 500 S Ste 9
Vernal, UT 84078-2912
Mailing address
1140 W 500 S Ste 9
Vernal, UT 84078-2912
Phone (435) 789-6300
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 |
|---|---|---|---|
| 9010838-3101 | UT | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1114491032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 W 500 S STE 9",
"city": "VERNAL",
"state": "UT",
"postal_code": "840782912",
"telephone_number": "435-789-6300",
"fax_number": "435-725-6325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 W 500 S STE 9",
"city": "VERNAL",
"state": "UT",
"postal_code": "840782912",
"telephone_number": "435-789-6300",
"fax_number": "435-725-6325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "KAMI",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-14",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "UT",
"license": "9010838-3101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernal, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.