Tara M. Holder, APRN, ENP, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

660917 Issued in TX

Practice address

755 N 11TH Street
Suite P-5200
Beaumont, TX 77702-1522

Phone

(409) 898-2994

Fax

(409) 899-5542

NPI assigned

Jan 17, 2007

Last updated

Nov 23, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIAJAA/Endpoint/EIAJAA
• Direct secure messaging: tara.holder@bimga.eclinicaldirectplus.com

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

• Beaumont Internal Medicine & Geriatric Assoc.

  • Geriatric Medicine (Internal Medicine) Physician
  • Beaumont, TX
  • NPI 1164430906
  Medicare reassignment
• Ahmad Medical PC

  • Internal Medicine Physician
  • Beaumont, TX
  • NPI 1720347370
  NPD (past)
• Beaumont Emergency Medicine Associates PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Beaumont, TX
  • NPI 1881716983
  NPD (past)
• Jasper Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Jasper, TX
  • NPI 1346442746

  Nurse Practitioner

  NPD (past)
• Jefferson Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Beaumont, TX
  • NPI 1497966949

  Nurse Practitioner

  NPD (past)
• Pioneer Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Port Arthur, TX
  • NPI 1780886150

  Nurse Practitioner

  NPD (past)
• Southeast Emergency Physician Associates, P.a.

  • Emergency Medicine Physician
  • Beaumont, TX
  • NPI 1235155102
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1023160330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N 11TH STREET",
            "address_2": "SUITE P-5200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021522",
            "telephone_number": "409-898-2994",
            "fax_number": "409-899-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 11TH STREET",
            "address_2": "SUITE P-5200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021522",
            "telephone_number": "409-898-2994",
            "fax_number": "409-899-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "TARA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "APRN, ENP, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "660917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7702695",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1658650-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00141387",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8N6091",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Hoang, O.D.
• Myra Devonne Hockless
• George Samuel Hoffman, M.D.
• John E Hoffpauir, CRNA
• Amanda Holbert
• Joseph William Holland Jr., M.D.
• Lisa Kay Holland, BC-FNP
• Tyra R Holland
• Hollier Counseling
• Augusta Hollier

• Nurse Practitioner in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Nurse Practitioner in Texas

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