Wynema Holmes

Key facts

NPI

1154499671

Entity type

Individual (NPI type 1)

Primary specialty

Case Management Registered Nurse 163WC0400X

License

RN055930 (AZ)

Practice address

Hwy 160/163, BLDG Ka 2010
Kayenta, AZ 86033-0368

Phone

(928) 697-4000

Fax

(928) 697-4083

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 15, 2014.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1154499671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HWY 160/163, BLDG KA 2010",
            "city": "KAYENTA",
            "state": "AZ",
            "postal_code": "860330368",
            "telephone_number": "928-697-4000",
            "fax_number": "928-697-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 160/163, BLDG KA 2010",
            "city": "KAYENTA",
            "state": "AZ",
            "postal_code": "860330368",
            "telephone_number": "928-697-4000",
            "fax_number": "928-697-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "WYNEMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "AZ",
            "license": "RN055930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kayenta, AZ

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• Susan Herbstritt
• Kerrilene Joy Herder, RN
• Jacqueline J. Hinde, P.A.-C
• Mary H Hope, RN
• Alan Itzen, RPH
• Jennifer Iverson
• Alexis Jakuszewski
• Charmayne James Shepard, CMA

All providers in Kayenta, AZ · Case Management Registered Nurse in Arizona