Connie Marie Holm

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

5940 S Rainbow Blvd Ste 2015
Las Vegas, NV 89118-2506

Phone

(725) 265-1906

NPI assigned

Jul 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1134966476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 S RAINBOW BLVD STE 2015",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182506",
            "telephone_number": "725-265-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 S RAINBOW BLVD STE 2015",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182506",
            "telephone_number": "725-265-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLM",
        "first_name": "CONNIE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Holly
• Ghana Holly
• Josette Jae Holly, CADC-I
• Hollywood Wellness Associates Inc.
• Hollywood Wellness Associates, Inc.
• Gerilyn Mae Holm, CABI
• William L Holm, MD
• Alda Holman
• Dijon Demario Holman
• Jamar Lydrell Holman

• Nurse's Aide in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nurse's Aide in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.