Active NPI
Everett L Holmes
- Hearing Instrument Specialist
- Joliet, IL
National Provider Identifier
1104537687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2866
- Practice address
- 1100 Essington Rd Ste 5
Joliet, IL 60435-8418 - Phone
- (815) 725-8522
- NPI assigned
- Dec 6, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2866 | IL | Primary |
Addresses
Primary practice location
1100 Essington Rd Ste 5
Joliet, IL 60435-8418
Mailing address
304 N Knox St
Princeton, IL 61356-1660
Phone (815) 725-8522
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | elholmes65@gmail.com | Other |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2866 | IL | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1104537687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 N KNOX ST",
"city": "PRINCETON",
"state": "IL",
"postal_code": "613561660",
"telephone_number": "815-725-8522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 ESSINGTON RD STE 5",
"city": "JOLIET",
"state": "IL",
"postal_code": "604358418",
"telephone_number": "815-725-8522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "EVERETT",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-06",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": "IL",
"license": "2866",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "elholmes65@gmail.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "data",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1100 Essington Rd Ste 5",
"city": "Joliet",
"state": "IL",
"country_code": "US",
"postal_code": "604358418",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.