Active NPI
Katherine Rae Holyfield, MSN AGPCNP-C
- Adult Health Nurse Practitioner
- Waterford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704282989
- Practice address
- 5758 Cooley Lake Rd
Waterford, MI 48327-3073 - Phone
- (855) 466-3631
- Fax
- (810) 244-0226
- NPI assigned
- May 11, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704282989 | MI | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 4704282989 | MI | |
| Critical Care Medicine Registered Nurse | 163WC0200X | 4704282989 | MI |
Addresses
Primary practice location
5758 Cooley Lake Rd
Waterford, MI 48327-3073
Mailing address
5758 Cooley Lake Rd
Waterford, MI 48327-3073
Phone (855) 466-3631
Other names 1
- Katherine Yakowich
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Wayne State University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4568 W Walton Blvd
Suite D
Waterford, MI 48329-4900
Phone (855) 466-3631
Hospital & facility affiliations
- Residential Home Health
- Summit Home Health
- Tone Home Health Services
- University of Michigan Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704282989 | MI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transitional Care Services, LLC | Current | Accepting new patients | |
| Bruce a. Cassidy, D.O., PC | Current | Accepting new patients |
Locations
28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000
25500 Meadowbrook Rd
Ste 260
Novi, MI 48375
Phone (248) 308-2604
5758 Cooley Lake Rd
Waterford, MI 48327
Phone (855) 466-3631
4568 W Walton Blvd
Ste D
Waterford Township, MI 48329
Phone (855) 466-3631
Interoperability endpoints
- katherine.holyfield.1@31855.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- Waterford, MI
- NPI 1174976807
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1053409268
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, MI
- NPI 1851398721
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
-
- Home Health Agency
- Troy, MI
- NPI 1992768550
-
- Home Health Agency
- Farmington Hills, MI
- NPI 1861420879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1447786207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5758 COOLEY LAKE RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483273073",
"telephone_number": "855-466-3631",
"fax_number": "810-244-0226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5758 COOLEY LAKE RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483273073",
"telephone_number": "855-466-3631",
"fax_number": "810-244-0226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLYFIELD",
"first_name": "KATHERINE",
"middle_name": "RAE",
"credential": "MSN AGPCNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "4704282989",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MI",
"license": "4704282989",
"primary": false
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "MI",
"license": "4704282989",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "YAKOWICH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.