Active NPI
Lori Holland, DO
- Psychiatry Physician
- Aurora, CO
National Provider Identifier
1154468403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 41656
- Practice address
- 1290 Chambers Rd
Aurora, CO 80011 - Phone
- (303) 504-7734
- NPI assigned
- Jan 30, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 41656 | CO | Primary |
Addresses
Primary practice location
1290 Chambers Rd
Aurora, CO 80011
Mailing address
11059 E. Bethany Drive
Aurora, CO 80014
Phone (303) 617-2300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021596 | Other | CO | KAISER COMMERCIAL NUMBER |
| 75385252 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41656 | CO | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1154468403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11059 E. BETHANY DRIVE",
"city": "AURORA",
"state": "CO",
"postal_code": "80014",
"telephone_number": "303-617-2300",
"fax_number": "303-617-2365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 CHAMBERS RD",
"city": "AURORA",
"state": "CO",
"postal_code": "80011",
"telephone_number": "303-504-7734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "LORI",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "41656",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER COMMERCIAL NUMBER",
"identifier": "021596",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "75385252",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.