Active NPI
Kasey Marie Holifield, CPS
- Peer Specialist
- Kennett, MO
National Provider Identifier
1497371975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 12466
- Practice address
- 925 Highway V V
Kennett, MO 63857-0071 - Phone
- (573) 888-5925
- NPI assigned
- Jun 22, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 12466 | MO | Primary |
Addresses
Primary practice location
925 Highway V V
Kennett, MO 63857-0071
Mailing address
20 S Sprigg St
Cape Girardeau, MO 63703-6212
Phone (573) 888-5925
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 |
|---|---|---|---|
| 12466 | MO | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1497371975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 S SPRIGG ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637036212",
"telephone_number": "573-888-5925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 HIGHWAY V V",
"city": "KENNETT",
"state": "MO",
"postal_code": "638570071",
"telephone_number": "573-888-5925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLIFIELD",
"first_name": "KASEY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "CPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-22",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "MO",
"license": "12466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennett, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.