Active NPI
Rebecca Lynn Holmes, PA
- Surgical Physician Assistant
- Homewood, AL
National Provider Identifier
1255305827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA23
- Practice address
- 3485 Independence Dr
Homewood, AL 35209-5603 - Phone
- (205) 930-0920
- Fax
- (205) 445-0115
- NPI assigned
- Feb 13, 2006
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA23 | AL | Primary |
Addresses
Primary practice location
3485 Independence Dr
Homewood, AL 35209-5603
Mailing address
3485 Independence Dr
Homewood, AL 35209-5603
Phone (205) 930-0920
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0366100001 | Other | AL | CIGNA GOVERNMENT SERVICES PTAN |
| R38293 | Other | AL | HEALTH SPRINGS |
| 0366100001 | Other | AL | MC NSC |
| 009941616 | Medicaid | AL |
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)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- rebeccaholmes@uca.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1255305827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3485 INDEPENDENCE DR",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "352095603",
"telephone_number": "205-930-0920",
"fax_number": "205-445-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3485 INDEPENDENCE DR",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "352095603",
"telephone_number": "205-930-0920",
"fax_number": "205-445-0115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "REBECCA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AL",
"license": "PA23",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA GOVERNMENT SERVICES PTAN",
"identifier": "0366100001",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH SPRINGS",
"identifier": "R38293",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC NSC",
"identifier": "0366100001",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009941616",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Homewood, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.