Active NPI
Nicole Holmes, RN
- Registered Nurse
- Malvern, PA
National Provider Identifier
1043142243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R170441
- Practice address
- 40 Valley Stream Pkwy
Malvern, PA 19355-1407 - Phone
- (410) 241-3886
- NPI assigned
- Jun 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R170441 | MD | Primary |
Addresses
Primary practice location
40 Valley Stream Pkwy
Malvern, PA 19355-1407
Mailing address
1437 Old Stepney Rd
Aberdeen, MD 21001-4003
Phone (443) 324-3256
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R170441 | MD | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1043142243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1437 OLD STEPNEY RD",
"city": "ABERDEEN",
"state": "MD",
"postal_code": "210014003",
"telephone_number": "443-324-3256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 VALLEY STREAM PKWY",
"city": "MALVERN",
"state": "PA",
"postal_code": "193551407",
"telephone_number": "410-241-3886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "NICOLE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-01",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "MD",
"license": "R170441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malvern, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.