Jasmine Veda Holder

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

12505 SW North Dakota St
Tigard, OR 97223-3284

Phone

(503) 601-9609

NPI assigned

Sep 7, 2016

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

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1851848857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 SW NORTH DAKOTA ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972233284",
            "telephone_number": "503-601-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 SW NORTH DAKOTA ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972233284",
            "telephone_number": "503-601-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "JASMINE",
        "middle_name": "VEDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Hogan III
• Chrystal Hohn
• Fungiso Agnes Hoko
• Jessica Paige Holcomb, BS QMHA
• Griselda Holden, LPN
• Alicia Kay Holiman, RDH, BSDH, EPDH
• Enesha Starnett Holiman
• Lacey Lee Holland, LMT
• Jessica Hollis
• Roxanne J Hollo, CRM/QMHA-I

• Addiction (Substance Use Disorder) Counselor in Tigard, OR
• Providers in Tigard, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.