Active NPI
Denise Holcomb
- Peer Specialist
- Cleveland, OH
National Provider Identifier
1346810033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 0001993
- Practice address
- 14172 Cedar Rd Apt 205
Cleveland, OH 44121-3228 - Phone
- (833) 784-4622
- Fax
- (833) 784-4622
- NPI assigned
- Jun 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 0001993 | OH | Primary |
Addresses
Primary practice location
14172 Cedar Rd Apt 205
Cleveland, OH 44121-3228
Mailing address
PO Box 21362
South Euclid, OH 44121-0362
Phone (833) 784-4622
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 |
|---|---|---|---|
| 0001993 | OH | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1346810033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21362",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441210362",
"telephone_number": "833-784-4622",
"fax_number": "833-784-4622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14172 CEDAR RD APT 205",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441213228",
"telephone_number": "833-784-4622",
"fax_number": "833-784-4622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCOMB",
"first_name": "DENISE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-25",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "0001993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.