Active NPI
Katie M Holcomb
- Peer Specialist
- Parma, OH
National Provider Identifier
1902521719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 0002723
- Practice address
- 6929 W 130TH St
Parma, OH 44130-7895 - Phone
- (440) 887-1100
- NPI assigned
- Oct 5, 2022
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 0002723 | OH | Primary |
Addresses
Primary practice location
6929 W 130TH St
Parma, OH 44130-7895
Mailing address
13833 Oak Tree TRL
Chardon, OH 44024-9356
Phone (216) 688-8869
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0002723 | OH | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1902521719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13833 OAK TREE TRL",
"city": "CHARDON",
"state": "OH",
"postal_code": "440249356",
"telephone_number": "216-688-8869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6929 W 130TH ST",
"city": "PARMA",
"state": "OH",
"postal_code": "441307895",
"telephone_number": "440-887-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCOMB",
"first_name": "KATIE",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-05",
"last_updated": "2022-10-05",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "0002723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.