Individual provider Active NPI

Heather Rebecca Holmes, MD

  • Family Medicine Physician
  • Rosenburg, OR
National Provider Identifier
1124339544
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD166592 Issued in OR
Practice address
2564 NW Edenbower Blvd, Suite 126
Rosenburg, OR 97471
Phone
(541) 672-7718
NPI assigned
Jun 30, 2010
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10037211 TX
Family Medicine Physician 207Q00000X P5381 TX
Family Medicine Physician 207Q00000X MD166592 OR Primary

Addresses

Primary practice location

2564 NW Edenbower Blvd, Suite 126
Rosenburg, OR 97471

Mailing address

2564 NW Edenbower Blvd, Suite 126
Rosenburg, OR 97471
Phone (541) 672-7718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20141020000788 OR Practitioner - Family Practice 8628299484 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2564 NW Edenbower Blvd
Suite 126
Roseburg, OR 97471-8854
Phone (541) 492-2350

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10037211TXMDFamily Medicine Physician
P5381TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tuality Healthcare CurrentSince Nov 18, 2017 Accepting new patients
Tuality Healthcare Family Medicine CurrentSince Nov 18, 2017 Accepting new patients
Umpqua Community Health Center, Inc. Current Accepting new patients
Umpqua Community Health Center, Inc. CurrentSince Jul 5, 2022 Accepting new patients
Umpqua Community Health Center, Inc. CurrentSince Jul 5, 2022 Accepting new patients
Holmes Family Practice, PC CurrentSince May 1, 2022 Accepting new patients
Commonspirit Oregon Past Accepting new patients

Locations

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

6355 NE Cornell Rd
Ste 100
Hillsboro, OR 97124
Phone (503) 597-3130

150 NE Kenneth Ford Dr
Roseburg, OR 97470

2564 NW Edenbower Blvd
Ste 126
Roseburg, OR 97471
Phone (541) 464-6260

2564 NW Edenbower Blvd
Ste 134
Roseburg, OR 97471
Phone (541) 492-2350

Interoperability endpoints

  • Direct secure messaging: heather.holmes.1@17792.direct.athenahealth.com
  • Direct secure messaging: hholmes953978@oc.providencedirect.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/GEAICD/Endpoint/GEAICD

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1124339544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2564 NW EDENBOWER BLVD, SUITE 126",
            "city": "ROSENBURG",
            "state": "OR",
            "postal_code": "97471",
            "telephone_number": "541-672-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2564 NW EDENBOWER BLVD, SUITE 126",
            "city": "ROSENBURG",
            "state": "OR",
            "postal_code": "97471",
            "telephone_number": "541-672-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "HEATHER",
        "middle_name": "REBECCA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10037211",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P5381",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD166592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenburg, OR

Sources for this page

Verify at the official NPI Registry.