Local Roots Health Care, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LOCAL ROOTS HEALTH CARE, PLLC

Practice address

12 Depot St
Kennebunk, ME 04043-7038

Phone

(207) 569-2021

Fax

(207) 203-4641

NPI assigned

Feb 4, 2021

Organization subpart

No

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

Authorized official

Name

Kyle Anders Holmquist, FNP-CNPI 1730799875

Title

Managing Member

Phone

(207) 929-0170

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle Anders Holmquist, NP-C

  • Family Nurse Practitioner
  • Kennebunk, ME
  • NPI 1730799875
  NPD Authorized official

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632528000000",
    "number": "1609468347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FOREST ST",
            "address_2": "C/O KYLE HOLMQUIST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "04072",
            "telephone_number": "207-929-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 DEPOT ST",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040437038",
            "telephone_number": "207-569-2021",
            "fax_number": "207-203-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCAL ROOTS HEALTH CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A",
        "authorized_official_last_name": "HOLMQUIST",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "ANDERS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "207-929-0170",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martine M Lintereur, LCSW
• Gail Dianne Linton, COTA/L
• Lisa a. Slaughter, DMD,PLLC
• Lisa Crowley LCSW LLC
• Amy E Littell, PSYD
• Julia Loeb, CCC-SLP
• Kari Ellen Londo, AU.D
• Mariah Long, OTR/L
• Cathy Lounsbury, EDD, LCPC
• Lisa Marie Macdonald, MSW

• Primary Care Clinic/Center in Kennebunk, ME
• Providers in Kennebunk, ME by specialty
• Primary Care Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; 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.