Charis Holman, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

912774 Issued in MS

Practice address

1748 Wooten Dr
Nesbit, MS 38651-2301

Phone

(901) 517-8678

NPI assigned

Jan 11, 2022

Last updated

Jan 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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

• Nurse on the Go LLC

  • Clinical Medical Laboratory
  • Nesbit, MS
  • NPI 1952052672

  Registered Nurse

  NPD Authorized official

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1255082202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 WOOTEN DR",
            "city": "NESBIT",
            "state": "MS",
            "postal_code": "386512301",
            "telephone_number": "901-517-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 WOOTEN DR",
            "city": "NESBIT",
            "state": "MS",
            "postal_code": "386512301",
            "telephone_number": "901-517-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "CHARIS",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "912774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dietitian Associates, Inc.
• David B Dowling, DDS, MS, PC
• Gran-GC Servives (Gran-GC)
• Shannon Hill, L.P.C.
• HKD Enterprises LLC Dba Home Helpers and Direct Link 58790
• Patricia Ann Hurth, MSN, RN-BC
• Level Up Consulting
• Lifeline Home Medical Supply
• MDP Home Health
• Medtrans Ms, LLC

• Registered Nurse in Nesbit, MS
• Providers in Nesbit, MS by specialty
• Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.