Kelli Holman

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

18 N Uncompahgre Ave
Montrose, CO 81401-3986

Phone

(970) 275-6847

NPI assigned

Mar 12, 2015

Last updated

Jun 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bayfront Youth & Family Services

  dba Bayfront Youth and Family Services

  • Community/Behavioral Health Agency
  • Long Beach, CA
  • NPI 1508296443
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1598158677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 SENATE ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814017794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N UNCOMPAHGRE AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013986",
            "telephone_number": "970-275-6847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 E Wardlow Rd",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908074630",
            "country_code": "US",
            "telephone_number": "562-595-4525",
            "fax_number": "562-426-7421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "KELLI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Hindes, RN
• Brittany Hodgson, DPT
• Greta Mae Hoffman, PA-C
• Emily Holden, LPC
• Elizabeth Holena
• Gloria A Holseybrook, PHARMD, BCPP
• Hoover Chiropractic Group Inc
• Wayne Hoover, DC
• Hope Springs Care Center LLC (Hope Springs Care Center)
• Hope Springs Care Center LLC (Allison Care Center)

• Behavior Analyst in Montrose, CO
• Providers in Montrose, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.

Verify at the official NPI Registry.