Active NPI
Ladonnia Holmes
- Peer Specialist
- Tulsa, OK
National Provider Identifier
1164064283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 4867 S Sheridan Rd Ste 712B
Tulsa, OK 74145-5721 - Phone
- (918) 960-0392
- NPI assigned
- Oct 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | |||
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
4867 S Sheridan Rd Ste 712B
Tulsa, OK 74145-5721
Mailing address
4867 S Sheridan Rd Ste 712B
Tulsa, OK 74145-5721
Phone (918) 960-0392
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ladonnia@wholehealthylivingwhl.org |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1164064283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4867 S SHERIDAN RD STE 712B",
"city": "TULSA",
"state": "OK",
"postal_code": "741455721",
"telephone_number": "918-960-0392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4867 S SHERIDAN RD STE 712B",
"city": "TULSA",
"state": "OK",
"postal_code": "741455721",
"telephone_number": "918-960-0392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "LADONNIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-09",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ladonnia@wholehealthylivingwhl.org",
"affiliation": "N",
"endpointDescription": "business email",
"address_1": "4867 S Sheridan Rd Ste 712B",
"city": "Tulsa",
"state": "OK",
"country_code": "US",
"postal_code": "741455721",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.