Individual provider Active NPI

Autumn Jane Holmes

  • In Home Supportive Care Agency
  • Twin Falls, ID
National Provider Identifier
1013623164
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
1594 4TH Ave E
Twin Falls, ID 83301-7313
Phone
(208) 308-2184
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1594 4TH Ave E
Twin Falls, ID 83301-7313

Mailing address

1594 4TH Ave E
Twin Falls, ID 83301-7313
Phone (208) 308-2184

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address holmesau@slhs.org St. Luke's Health System
Direct Messaging Address holmesau@slhs.org St. Luke's Health System
Direct Messaging Address holmesau@slhs.org Direct St Luke's Health Resources

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

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1013623164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 4TH AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833017313",
            "telephone_number": "208-308-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1594 4TH AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833017313",
            "telephone_number": "208-308-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "AUTUMN",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "holmesau@slhs.org",
            "affiliation": "Y",
            "affiliationName": "St. Luke's Health System",
            "address_1": "190 E Bannock St",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837126241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "holmesau@slhs.org",
            "affiliation": "Y",
            "affiliationName": "St. Luke's Health System",
            "address_1": "190 E Bannock St",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837126241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "holmesau@slhs.org",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "St Luke's Health Resources",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "holmesau@slhs.org",
            "address_1": "190 E Bannock St",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837126241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.