Timbolin Deirdre Holmes, MSN,RN, APN,CNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

209.009027 Issued in IL

Practice address

1147 S Wabash Ave Ste 250B
Chicago, IL 60605-2355

Phone

(312) 987-4878

Fax

(312) 235-0909

NPI assigned

Aug 29, 2011

Sex

Female

Sole proprietor

No

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

Enrolled in IL

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Health Medical LTDGroup PAC ID 5395140610, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tholmes7211@direct.riversidehealthcare.net

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.

• Advanced Health Medical LTD

  • General Practice Physician
  • Chicago, IL
  • NPI 1063187631
  Medicare reassignment Care Compare group NPD
• Center for Addictive Problems, Inc

  • Methadone Clinic
  • Chicago, IL
  • NPI 1285797761
  NPD (past)
• Midwest Emergency Northern Illinois Inc

  • Emergency Medicine Physician
  • Ottawa, IL
  • NPI 1427217504
  NPD (past)

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663459200000",
    "number": "1275814709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 S WABASH AVE STE 250B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052355",
            "telephone_number": "312-987-4878",
            "fax_number": "312-235-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 S WABASH AVE STE 250B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052355",
            "telephone_number": "312-987-4878",
            "fax_number": "312-235-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "TIMBOLIN",
        "middle_name": "DEIRDRE",
        "name_prefix": "Mrs.",
        "credential": "MSN,RN, APN,CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2022-09-18",
        "certification_date": "2022-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209.009027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joye L Holmes, MD
• Kenyatta Funtay Holmes
• Lauren Claire Holmes, LCPC, CADC
• Melissa Holmes, M.D.
• Paulette Holmes
• Denise Netko Holmgren, LMFT
• Mary Marlene Holmstrom, MSN, APRN, WHNP-BC
• Anna Holod
• Monique Holod
• Phillip Holovach

• Acute Care Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Acute Care Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.