Individual provider Active NPI

Catherine J Holmes, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Greeley, CO
National Provider Identifier
1245427921
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0005266-NP Issued in CO
Practice address
100 N 11TH Ave
Greeley, CO 80631-2011
Phone
(970) 352-8898
Fax
(970) 351-7051
NPI assigned
Sep 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 105244 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0005266-NP CO Primary

Addresses

Primary practice location

100 N 11TH Ave
Greeley, CO 80631-2011

Mailing address

2930 11TH Ave
Evans, CO 80620-1011
Phone (970) 395-1130

Other identifiers 1

IdentifierTypeStateIssuer
79204759MedicaidCO

Other names 1

  • Catherine J Holmes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151026001913 CO Practitioner - Nurse Practitioner 4981913357 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5266COMDPediatric Physical Therapist
105244COMDPediatric Nurse Practitioner
APN.0005266-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Range Behavioral Health Current Accepting new patients
North Range Behavioral Health CurrentSince May 30, 2022 Accepting new patients
North Range Behavioral Health CurrentSince May 30, 2022 Accepting new patients
Catherine Holmes Psychiatric/Mental Health CurrentSince Jan 28, 2024 Accepting new patients

Locations

2930 11th Ave
Evans, CO 80620
Phone (970) 350-4606

1300 N 17th Ave
Greeley, CO 80631
Phone (970) 475-6016

1407 8th Ave
Greeley, CO 80631
Phone (970) 347-2121

100 N 11th Ave
Greeley, CO 80631
Phone (970) 347-2384

7251 W 20th St
Unit C
Greeley, CO 80634
Phone (970) 347-2123

3527 W 12th St
Ste 201
Greeley, CO 80634
Phone (970) 616-4566

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1245427921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 11TH AVE",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806201011",
            "telephone_number": "970-395-1130",
            "fax_number": "970-353-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 11TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806312011",
            "telephone_number": "970-352-8898",
            "fax_number": "970-351-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "CATHERINE",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "105244",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0005266-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79204759",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "HOLMES",
            "middle_name": "J",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.