Active NPI
Lafitte Jermaine Holmes Sr., CLINICAL NURSE SPEC
- Adult Health Clinical Nurse Specialist
- San Antonio, TX
National Provider Identifier
1013217876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- 667360
- Practice address
- 4212 E Southcross Blvd
Ste # 145
San Antonio, TX 78222-3735 - Phone
- (210) 447-3033
- Fax
- (210) 447-3036
- NPI assigned
- Oct 27, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | 667360 | TX | Primary |
Addresses
Primary practice location
4212 E Southcross Blvd
Ste # 145
San Antonio, TX 78222-3735
Mailing address
4212 E Southcross Blvd
Ste # 145
San Antonio, TX 78222-3735
Phone (210) 447-3033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1032 S WW White Rd
San Antonio, TX 78220-2531
Phone (210) 447-3033
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 667360 | TX | MD | Adult Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Antonio Premier Internal Medicine, PLLC | Current | Accepting new patients |
Locations
4212 E Southcross Blvd
Ste 145
San Antonio, TX 78222
Phone (210) 337-6202
1032 S WW White Rd
San Antonio, TX 78220
Phone (210) 447-3033
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AGCFAA/Endpoint/AGCFAA
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1891958542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288224000000",
"number": "1013217876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4212 E SOUTHCROSS BLVD",
"address_2": "STE # 145",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782223735",
"telephone_number": "210-447-3033",
"fax_number": "210-447-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4212 E SOUTHCROSS BLVD",
"address_2": "STE # 145",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782223735",
"telephone_number": "210-447-3033",
"fax_number": "210-447-3036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "LAFITTE",
"middle_name": "JERMAINE",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "CLINICAL NURSE SPEC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-27",
"last_updated": "2010-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "TX",
"license": "667360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.