Active NPI
Stephanie L Holmes, NP
- Nurse Practitioner
- Brunswick, ME
National Provider Identifier
1295846749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RO25602ANP:APO81362
- Practice address
- 121 Medical Center Drive
Suite 2700
Brunswick, ME 04011 - Phone
- (207) 721-8700
- Fax
- (207) 721-8715
- NPI assigned
- Aug 31, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R025602 | ME | |
| Nurse Practitioner | 363L00000X | RO25602ANP:APO81362 | ME | Primary |
Addresses
Primary practice location
121 Medical Center Drive
Suite 2700
Brunswick, ME 04011
Mailing address
121 Medical Center Dr
Suite 2700
Brunswick, ME 04011-2653
Phone (207) 721-8700
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R025602 | ME | MD | Nurse Practitioner |
| RO25602ANP:APO81362 | ME | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1295846749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 MEDICAL CENTER DR",
"address_2": "SUITE 2700",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112653",
"telephone_number": "207-721-8700",
"fax_number": "207-721-8715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 MEDICAL CENTER DRIVE",
"address_2": "SUITE 2700",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "04011",
"telephone_number": "207-721-8700",
"fax_number": "207-721-8715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "STEPHANIE",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ME",
"license": "R025602",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ME",
"license": "RO25602ANP:APO81362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.