Holistic Medical Services, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

HOLISTIC MEDICAL SERVICES, LLC

Practice address

14817 Rose Trellis PL
Silver Spring, MD 20906-5738

Phone

(202) 375-4367

NPI assigned

May 5, 2022

Organization subpart

No

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

Authorized official

Name

Wanda Caesar, CRNP-FNP, PMH-BCNPI 1316288699

Title

President

Phone

(202) 375-4367

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Holistic Medical Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1649991266

  5395101125

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Holistic Medical Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1649991266

  O20230519001618, O20240805003927

  Same enrollment

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wanda C Caesar, CRNP-FNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bethesda, MD
  • NPI 1316288699

  DC

  Medicare reassignment Authorized official
• Andy Moore, M.D.

  • Family Medicine Physician
  • Falls Church, VA
  • NPI 1487016051

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1144965963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14817 ROSE TRELLIS PL",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065738",
            "telephone_number": "202-375-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14817 ROSE TRELLIS PL",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065738",
            "telephone_number": "202-375-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "CAESAR",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-375-4367",
        "authorized_official_credential": "CRNP-FNP, PMH-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer C. Hoffman, DPT, MSPT
• Glenn Hogan, PH D
• Allison Murphy Hoke, LGPC
• Pamela Holden, LCSW-C
• Hugh Michael Holder, MD
• Holistic Mental Wellness Center LLC
• India Holland
• Kristine Holland, LGPC
• Holley and Associates Inc.
• Leslie D Holley, LCPC, LPC

• Family Nurse Practitioner in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.