Organization Active NPI

Holden Family Care, LLC

  • Family Nurse Practitioner
  • Holden, MO
National Provider Identifier
1215396338
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
076670 Issued in MO
Legal business name
HOLDEN FAMILY CARE, LLC
Practice address
612 E 10TH St
Holden, MO 64040-9421
Phone
(816) 732-6010
Fax
(816) 732-6011
NPI assigned
Feb 17, 2016
Last updated
Feb 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Ms. Dorothy Louise Adams, APRNNPI 1043274210
Title
Owner/Nurse Practitioner
Phone
(816) 732-6010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 076670 MO Primary

Addresses

Primary practice location

612 E 10TH St
Holden, MO 64040-9421

Mailing address

612 E 10TH St
Holden, MO 64040-9421
Phone (816) 732-6010

Other identifiers 1

IdentifierTypeStateIssuer
MA5572OtherMOMEDICARE PTAN

National Provider Directory

National Provider Directory
Tax ID family
Holden Family Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1215396338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 E 10TH ST",
            "city": "HOLDEN",
            "state": "MO",
            "postal_code": "640409421",
            "telephone_number": "816-732-6010",
            "fax_number": "816-732-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E 10TH ST",
            "city": "HOLDEN",
            "state": "MO",
            "postal_code": "640409421",
            "telephone_number": "816-732-6010",
            "fax_number": "816-732-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDEN FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "816-732-6010",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "076670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MA5572",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holden, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.

Verify at the official NPI Registry.