Active NPI
Katie Marie Holter
- Psychologist
- Minnetonka, MN
National Provider Identifier
1578074589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 12301 Whitewater Dr Ste 30
Minnetonka, MN 55343-4157 - Phone
- (320) 309-1724
- NPI assigned
- Oct 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
12301 Whitewater Dr Ste 30
Minnetonka, MN 55343-4157
Mailing address
3117 Colfax Ave S Apt 8
Minneapolis, MN 55408-2840
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": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508198400000",
"number": "1578074589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3117 COLFAX AVE S APT 8",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12301 WHITEWATER DR STE 30",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553434157",
"telephone_number": "320-309-1724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTER",
"first_name": "KATIE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-17",
"last_updated": "2017-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.