Active NPI
Christine Holmes, ATC
- Athletic Trainer
- Edenton, NC
National Provider Identifier
1184697500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-2509
- Practice address
- 600 Woodard St
Edenton, NC 27932-1960 - Phone
- (252) 482-8426
- NPI assigned
- Feb 8, 2006
- Last updated
- Jan 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | LAT-2509 | NC | Primary |
Addresses
Primary practice location
600 Woodard St
Edenton, NC 27932-1960
Mailing address
104 Valley Rd
Camden, NC 27921-7644
Phone (954) 294-2878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAT-2509 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1184697500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 VALLEY RD",
"city": "CAMDEN",
"state": "NC",
"postal_code": "279217644",
"telephone_number": "954-294-2878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 WOODARD ST",
"city": "EDENTON",
"state": "NC",
"postal_code": "279321960",
"telephone_number": "252-482-8426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "CHRISTINE",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-2509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edenton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.