Individual provider Active NPI

Kristina Michelle Holder, L.AC., MSOM

  • Acupuncturist
  • Phoenix, AZ
National Provider Identifier
1467727404
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0824 Issued in AZ
Practice address
720 E Thunderbird Rd Ste 4
Phoenix, AZ 85022-5396
Phone
(602) 866-8603
Fax
(602) 866-2413
NPI assigned
Mar 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0824 AZ Primary

Addresses

Primary practice location

720 E Thunderbird Rd Ste 4
Phoenix, AZ 85022-5396

Mailing address

720 E Thunderbird Rd Ste 4
Phoenix, AZ 85022-5396
Phone (602) 866-8603

Other names 1

  • Ms. Krissi Michelle Holder Other name

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": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1467727404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E THUNDERBIRD RD STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225396",
            "telephone_number": "602-866-8603",
            "fax_number": "602-866-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E THUNDERBIRD RD STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225396",
            "telephone_number": "602-866-8603",
            "fax_number": "602-866-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "KRISTINA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "L.AC., MSOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISSI",
            "last_name": "HOLDER",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "credential": "L.AC., MSOM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.