Kyle Anders Holmquist, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP201064 Issued in ME

Practice address

12 Depot St
Kennebunk, ME 04043-7038

Phone

(207) 569-2021

Fax

(207) 203-4641

NPI assigned

Aug 4, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Kyle Aaron Brenton Former name

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

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

• Central Maine Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1689653487
  Medicare reassignment NPD
• Minuteclinic Diagnostic of Maine, LLC

  • Family Nurse Practitioner
  • South Portland, ME
  • NPI 1740661461
  Medicare reassignment NPD
• Local Roots Health Care, PLLC

  • Primary Care Clinic/Center
  • Kennebunk, ME
  • NPI 1609468347
  NPD Authorized official
• Central Maine Medical Center

  • Community/Retail Pharmacy
  • Lewiston, ME
  • NPI 1033874458
  NPD

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1730799875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FOREST ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040723110",
            "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": [
        {
            "address_1": "51 Market St # 806",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041063617",
            "country_code": "US",
            "telephone_number": "207-799-8186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Kendrick St",
            "address_purpose": "LOCATION",
            "city": "Needham",
            "state": "MA",
            "postal_code": "024942726",
            "country_code": "US",
            "telephone_number": "339-777-5446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMQUIST",
        "first_name": "KYLE",
        "middle_name": "ANDERS",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-04",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "RN73053",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "086005-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP201064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLE",
            "last_name": "BRENTON",
            "middle_name": "AARON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leon P Hickey, DPM
• Pierce Hildebrant, PT, DPT, NCS
• Katrina Lianne Hockey, PMHNP-BC
• Jillian M Hodsdon, PT, DPT
• Lesley T Hoey, PT
• Sarah Pheobe Hood, DPT
• Jessica Lynne Hornickell I, CNA
• Cassandra June Hotaling-Hahn, PA-C
• Hothersall Consultants LLC
• Christopher Allan Hughes, MD

• Family Nurse Practitioner in Kennebunk, ME
• Providers in Kennebunk, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.