Active NPI
Maria Holderfield
- Behavior Technician
- Columbia, KY
National Provider Identifier
1558070292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 312 Hurt St Unit C
Columbia, KY 42728-2311 - Phone
- (270) 250-5070
- Fax
- (270) 380-1711
- NPI assigned
- Nov 21, 2022
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | KY | Primary |
Addresses
Primary practice location
312 Hurt St Unit C
Columbia, KY 42728-2311
Mailing address
312 Hurt St Unit C
Columbia, KY 42728-2311
Phone (859) 230-0559
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gracie Behavior Associates, LLC | Behavior Technician | Current | Accepting new patients |
Locations
312 Hurt St
Unit C
Columbia, KY 42728
Phone (270) 250-5070
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1558070292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 HURT ST UNIT C",
"city": "COLUMBIA",
"state": "KY",
"postal_code": "427282311",
"telephone_number": "859-230-0559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 HURT ST UNIT C",
"city": "COLUMBIA",
"state": "KY",
"postal_code": "427282311",
"telephone_number": "270-250-5070",
"fax_number": "270-380-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDERFIELD",
"first_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-21",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.