Shelda Holmes, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200450058NP Issued in OR

Practice address

5311 N Vancouver Ave
Portland, OR 97217-2731

Phone

(503) 281-0308

Fax

(503) 281-4691

NPI assigned

Oct 25, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1316937949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6606 NE MALLORY AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972112424",
            "telephone_number": "503-803-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 N VANCOUVER AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172731",
            "telephone_number": "503-281-0308",
            "fax_number": "503-281-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "SHELDA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200450058NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241378",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027742",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Emily Holmes, LCSW
• Renee Holmes, LPN
• Rhoda Michelle Holmes
• Richard Arthur Holmes
• Sarah Elizabeth Rosemary Holmes
• Stephen C Holmes, MD
• Tara E Holmes
• Trevor Michael Holmes
• Yolanda Evett Holmes
• Lauren Holmgren, MS

• Family Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.