Active NPI
Breeanna Camille Holmes, DNP, APRN, FNP-BC
- Family Nurse Practitioner
- Elkridge, MD
National Provider Identifier
1346029352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R229666
- Practice address
- 6480 Old Waterloo Rd
Elkridge, MD 21075-6508 - Phone
- (410) 799-0291
- NPI assigned
- Sep 28, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R229666 | MD | Primary |
Addresses
Primary practice location
6480 Old Waterloo Rd
Elkridge, MD 21075-6508
Mailing address
6480 Old Waterloo Rd
Elkridge, MD 21075-6508
Phone (410) 799-0291
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 |
|---|---|---|---|
| R229666 | MD | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1346029352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6480 OLD WATERLOO RD",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756508",
"telephone_number": "410-799-0291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6480 OLD WATERLOO RD",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756508",
"telephone_number": "410-799-0291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "BREEANNA",
"middle_name": "CAMILLE",
"name_prefix": "Dr.",
"credential": "DNP, APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-28",
"last_updated": "2023-11-06",
"certification_date": "2023-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R229666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.