Sandra Seegars Holmes

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

061218 Issued in GA

Practice address

1836 Carrollton Villa Rica Hwy
Villa Rica, GA 30180-5192

Phone

(678) 997-4099

NPI assigned

Mar 8, 2020

Last updated

Mar 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1583625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583625600000",
    "number": "1013542216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1695",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302138011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 CARROLLTON VILLA RICA HWY",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301805192",
            "telephone_number": "678-997-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEGARS HOLMES",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-08",
        "last_updated": "2020-03-08",
        "certification_date": "2020-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "061218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Olivea Saucedo, CLC
• Andriana Natalia Scencirro, MD
• Arielle Schecter, MD
• Christa Schillinger, M.S., OTR/L
• William Schneider, M.D.
• Regine Tudor Senkyr
• Cory Clayton Shattles, RBT
• Michael Jay Simmons, MPT
• Emily Sims, NP
• Virginia Singer

• Licensed Practical Nurse in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2020; 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.