Ladeja Rochelle Holland, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2019031375 Issued in MO

Practice address

4421 N Oak Trfy
Kansas City, MO 64116

Phone

(913) 944-1989

NPI assigned

Feb 8, 2019

Last updated

Jun 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1326503830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 N OAK TRFY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64116",
            "telephone_number": "913-944-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 N OAK TRFY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64116",
            "telephone_number": "913-944-1989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 NW Platte Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "MO",
            "postal_code": "641509793",
            "country_code": "US",
            "telephone_number": "816-741-6374",
            "fax_number": "816-505-3312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "LADEJA",
        "middle_name": "ROCHELLE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KS",
            "license": "24-01450",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2019031375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Anne Scrafford Holland, MD
• Gregory Holland
• Jonathan Woodrow Holland, DO
• Julia G Holland, LPC
• Kevin Patrick Holland, LMSW
• Matthew Edward Holland, DO
• Michael James Holland, MD
• Shawn C Holland, LPC
• David Norman Holleman, M.D.
• Frances Marie Hollembaek, DC

• Athletic Trainer in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.