Active NPI
Kaitlyn Marie Holderman, MSN, APRN, FNP-BC
- Family Nurse Practitioner
- Aurora, CO
National Provider Identifier
1609530898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.0997068-NP
- Practice address
- 1411 S Potomac St Ste 202
Aurora, CO 80012-4538 - Phone
- (303) 755-7681
- NPI assigned
- Oct 25, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.0997068-NP | CO | Primary |
Addresses
Primary practice location
1411 S Potomac St Ste 202
Aurora, CO 80012-4538
Mailing address
1300 S Potomac St
Aurora, CO 80012-6166
Phone (618) 696-9812
Other practice location 1
8994 E 29th Pl
Denver, CO 80238-2715
Phone (618) 696-9812
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1609530898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 S POTOMAC ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800126166",
"telephone_number": "618-696-9812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 S POTOMAC ST STE 202",
"city": "AURORA",
"state": "CO",
"postal_code": "800124538",
"telephone_number": "303-755-7681"
}
],
"practiceLocations": [
{
"address_1": "8994 E 29th Pl",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802382715",
"country_code": "US",
"telephone_number": "618-696-9812",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLDERMAN",
"first_name": "KAITLYN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MSN, APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-25",
"last_updated": "2023-03-03",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0997068-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.