Individual provider Active NPI

Holly Battrum, DIPL. O.M., L.AC,

  • Acupuncturist
  • Kansas City, MO
National Provider Identifier
1861881765
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
2015000886 Issued in MO
Practice address
8025 Ward Parkway PLZ
Kansas City, MO 64114-2131
Phone
(816) 853-7529
NPI assigned
Jan 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 2015000886 MO Primary

Addresses

Primary practice location

8025 Ward Parkway PLZ
Kansas City, MO 64114-2131

Mailing address

8025 Ward Parkway PLZ
Kansas City, MO 64114-2131
Phone (816) 853-7529

Other identifiers 2

IdentifierTypeStateIssuer
156632OtherNATIONAL CERTIFICATION NUMBER
2015000886OtherMOSTATE LICENSE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2015000886MOMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1861881765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 WARD PARKWAY PLZ",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142131",
            "telephone_number": "816-853-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 WARD PARKWAY PLZ",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142131",
            "telephone_number": "816-853-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTRUM",
        "first_name": "HOLLY",
        "credential": "DIPL. O.M., L.AC,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MO",
            "license": "2015000886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION NUMBER",
            "identifier": "156632",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2015000886",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.