Kiante Holmes

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

A4682 Issued in OR

Practice address

11936 NE Sandy Blvd
Portland, OR 97220-1450

Phone

(503) 206-7864

NPI assigned

Aug 12, 2013

Sex

Female

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

• Kiante Griffin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1992138176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19814 NE HASSALO CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972307969",
            "telephone_number": "503-997-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11936 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972201450",
            "telephone_number": "503-206-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "KIANTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "OR",
            "license": "545074",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A4682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIANTE",
            "last_name": "GRIFFIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crane J Holmes, ND
• Elizabeth A Holmes, AGNP-BC
• Ian Holmes, MD
• Jennifer Cork Holmes, DVM
• Kathryn Wood Holmes, M.D.
• Lauren Holmes
• Lauren Rebecca Holmes, P.A.-C
• Nancy Irey Holmes, PSYD
• Rebecca Emily Holmes, LCSW
• Renee Holmes, LPN

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.