Active NPI
Joann Holmes, R.P.A.
- Physician Assistant
- Bethpage, NY
National Provider Identifier
1154365229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 007451-1
- Practice address
- 120 Hicksville Rd
Bethpage, NY 11714-3443 - Phone
- (516) 714-3283
- Fax
- (516) 232-9789
- NPI assigned
- Jun 16, 2006
- Last updated
- Jan 30, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 007451-1 | NY | Primary |
Addresses
Primary practice location
120 Hicksville Rd
Bethpage, NY 11714-3443
Mailing address
120 Hicksville Rd
Bethpage, NY 11714-3443
Phone (516) 714-3283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007451 | NY | MD | Acupuncturist |
| 007451-1 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1154365229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 HICKSVILLE RD",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117143443",
"telephone_number": "516-714-3283",
"fax_number": "516-232-9789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 HICKSVILLE RD",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117143443",
"telephone_number": "516-714-3283",
"fax_number": "516-232-9789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "JOANN",
"credential": "R.P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "007451-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethpage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.