Individual provider Active NPI

Jessica Aleah Holmes, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1093038242
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47862 Issued in AZ
Practice address
3003 N 3Rd St
Phoenix, AZ 85012-3031
Phone
(800) 233-3264
Fax
(602) 393-9848
NPI assigned
Mar 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125-055810 IL
Family Medicine Physician 207Q00000X 47862 AZ Primary

Addresses

Primary practice location

3003 N 3Rd St
Phoenix, AZ 85012-3031

Mailing address

3003 N 3Rd St
Phoenix, AZ 85012-3031
Phone (800) 233-3264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130614000338 AZ Practitioner - Family Practice 4183880941 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47862AZMDFamily Medicine Physician
125-055810ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
District Medical Group, Inc CurrentSince May 28, 2013 Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Feb 1, 2024 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Feb 1, 2023 Accepting new patients
Banner Urgent Care Arizona LLC Current Accepting new patients
Banner Urgent Care Services, LLC Current Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Feb 1, 2023 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Jan 30, 2019 Accepting new patients
Cigna Health Care of Arizona Inc. CurrentSince Jan 30, 2019 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
District Medical Group, Inc CurrentSince May 28, 2013 Accepting new patients
Jackrabbit Family Medicine Inc PastSince May 15, 2001 Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients

Locations

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

3000 N Arizona Ave
Chandler, AZ 85225
Phone (480) 355-1575

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

1955 W Guadalupe Rd
Ste 1
Mesa, AZ 85202
Phone (480) 207-2990

1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

3003 N 3rd St
Phoenix, AZ 85012
Phone (602) 282-9800

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 E Indian School Rd
Ste 102
Phoenix, AZ 85016
Phone (602) 255-7700

4760 E Thunderbird Rd
Ste 1
Phoenix, AZ 85032
Phone (480) 827-5590

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

35945 N Gary Rd
San Tan Valley, AZ 85143
Phone (480) 827-5750

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

10330 N Scottsdale Rd
Ste 25
Scottsdale, AZ 85253
Phone (602) 255-7625

7066 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 514-0344

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1093038242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123031",
            "telephone_number": "800-233-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123031",
            "telephone_number": "800-233-3264",
            "fax_number": "602-393-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "JESSICA",
        "middle_name": "ALEAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125-055810",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "47862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.