Kimberly Renee Holle

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1027-027 Issued in WI

Practice address

W190N4969 One Mile Road
Menomonee Falls, WI 53051

Phone

(262) 790-1818

NPI assigned

Jun 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619913282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W192N4969 ONE MILE RD",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530516327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W190N4969 ONE MILE ROAD",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "53051",
            "telephone_number": "262-790-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLE",
        "first_name": "KIMBERLY",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "1027-027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holista, LLC
• Holista, LLC
• Holista, LLC
• Ann-Michael Holland, AA-C
• Rebekka M Holland, CRNA, APNP
• Charles Holmburg, M.D.
• Tom G Holt, LPC LMFT
• Steven W Holtz, D.C.
• Susan Marie Honzelka, PHARM.D.
• Kathleen E Horowitz, MD

• Occupational Therapy Assistant in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.