Edna C Holmes, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0103000695 Issued in VA

Practice address

1700 Rosedale CT
Woodbridge, VA 22191-3016

Phone

(703) 494-3070

Fax

(703) 491-9501

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 12

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eastern Podiatry PLLC

  • Podiatrist
  • Lynchburg, VA
  • NPI 1598421422
  Medicare reassignment NPD
• Holmes & Guy Podiatrists, P C

  • Podiatric Clinic/Center
  • Woodbridge, VA
  • NPI 1295061851
  NPD (past) Authorized official
• New Era Healthcare Inc.

  • Multi-Specialty Clinic/Center
  • Richmond, VA
  • NPI 1326695339
  NPD
• Eastern Podiatry PLLC

  • Podiatrist
  • Lynnwood, WA
  • NPI 1104692219
  NPD
• Polun Family Footcare P C

  • Podiatrist
  • Owings Mills, MD
  • NPI 1174615173
  NPD (past)
• Premier Podiatry of Virginia LLC

  • Podiatrist
  • Owings Mills, MD
  • NPI 1356430078
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1003908898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 ROSEDALE CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ROSEDALE CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913016",
            "telephone_number": "703-494-3070",
            "fax_number": "703-491-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "EDNA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "VA",
            "license": "0103000695",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "DC",
            "license": "P0474",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "VA",
            "license": "0103000695",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "DC",
            "license": "P0474",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103000695",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "DC",
            "license": "P0474",
            "primary": false
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "VA",
            "license": "0103000695",
            "primary": false
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "DC",
            "license": "P0474",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "VA",
            "license": "0103000695",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "DC",
            "license": "P0474",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "VA",
            "license": "0103000695",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "DC",
            "license": "P0474",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9302409",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRY",
            "identifier": "5407",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRY",
            "identifier": "026083",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIUAL PTAN",
            "identifier": "00Y336HO1",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kailen Holland
• James Robert Hollis, M.D.
• Kathryn Janette Holloway, PH.D.
• Holmes & Guy Podiatrists, P C
• Darnell Holmes
• Home Aid Equipment LLC
• Home Away Residential Services LLC
• Home Care Assistance Agency
• Home Health America Corp
• Home Health Care VA LLC

• Podiatrist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.