Individual provider Active NPI

Holly Thomas, CNM

  • Psychiatric/Mental Health Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1104378181
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024197363 Issued in VA
Practice address
1165 Imperial Dr Ste 200
Hagerstown, MD 21740-6583
Phone
(301) 665-9098
Fax
(301) 665-9096
NPI assigned
Oct 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024197363 VA Primary
Advanced Practice Midwife 367A00000X 0024197363 VA
Midwife 176B00000X R190986 MD
Nurse Practitioner 363L00000X R190986 MD

Addresses

Primary practice location

1165 Imperial Dr Ste 200
Hagerstown, MD 21740-6583

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339

Other practice location 1

9221 Forest Hill Ave Ste 100
Richmond, VA 23235-6876
Phone (304) 596-4744

Other practice location 2

25 Douglas Ln
Berkeley Springs, WV 25411-5165
Phone (304) 596-4744

Other practice location 3

1190 Winterson Rd Ste 200
Linthicum Heights, MD 21090-2245
Phone (615) 478-6748

Other practice location 4

301 S Perimeter Park Dr Ste 100
Nashville, TN 37211-4128
Phone (615) 478-6748

Other identifiers 1

IdentifierTypeStateIssuer
R190986OtherMDLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address holly.thomas.p1@direct.cwcare.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161214000423 MD Practitioner - Certified Nurse Midwife (CNM) 0446530232 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Women'S Care, L.L.C. Current Accepting new patients
Capital Women'S Care, L.L.C. CurrentSince Nov 14, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

61 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-6171

11850 W Market Pl
Ste P
Fulton, MD 20759

8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759

1165 Imperial Dr
Ste 200
Hagerstown, MD 21740
Phone (301) 665-9098

1165 Imperial Dr
Ste 300
Hagerstown, MD 21740
Phone (301) 665-9098

Interoperability endpoints

  • Direct secure messaging: holly.thomas.p1@direct.cwcare.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1104378181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MAPLE LAWN BLVD STE 235",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592694",
            "telephone_number": "301-340-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 IMPERIAL DR STE 200",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406583",
            "telephone_number": "301-665-9098",
            "fax_number": "301-665-9096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9221 Forest Hill Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232356876",
            "country_code": "US",
            "telephone_number": "304-596-4744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Douglas Ln",
            "address_purpose": "LOCATION",
            "city": "Berkeley Springs",
            "state": "WV",
            "postal_code": "254115165",
            "country_code": "US",
            "telephone_number": "304-596-4744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1190 Winterson Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Linthicum Heights",
            "state": "MD",
            "postal_code": "210902245",
            "country_code": "US",
            "telephone_number": "615-478-6748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 S Perimeter Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372114128",
            "country_code": "US",
            "telephone_number": "615-478-6748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "HOLLY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024197363",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024197363",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MD",
            "license": "R190986",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R190986",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R190986",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "holly.thomas.p1@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1165 Imperial Dr Ste 200",
            "city": "Hagerstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217406583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.