Active NPI
Kim Holton
- Clinical Social Worker
- North Richland Hills, TX
National Provider Identifier
1831748110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16981
- Practice address
- 5424 Rufe Snow Dr
North Richland Hills, TX 76180-6684 - Phone
- (817) 576-2447
- NPI assigned
- Sep 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16981 | TX | Primary |
Addresses
Primary practice location
5424 Rufe Snow Dr
North Richland Hills, TX 76180-6684
Mailing address
11032 Dillon St
Fort Worth, TX 76179-5322
Phone (817) 366-5589
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567987200000",
"number": "1831748110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11032 DILLON ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761795322",
"telephone_number": "817-366-5589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5424 RUFE SNOW DR",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "761806684",
"telephone_number": "817-576-2447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTON",
"first_name": "KIM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-09",
"last_updated": "2019-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "16981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Richland Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.