Individual provider Active NPI

Tynika Danell Holmes

  • Critical Care Certified Respiratory Therapist
  • San Antonio, TX
National Provider Identifier
1376219667
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Certified Respiratory TherapistTaxonomy code 2278C0205X
License
64745 Issued in TX
Practice address
6033 De Zavala Rd Apt 2118
San Antonio, TX 78249-2260
Phone
(210) 214-0211
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Certified Respiratory TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2278C0205X 64745 TX Primary

Addresses

Primary practice location

6033 De Zavala Rd Apt 2118
San Antonio, TX 78249-2260

Mailing address

6033 De Zavala Rd Apt 2118
San Antonio, TX 78249-2260
Phone (210) 214-0211

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
64745TXMDCritical Care Certified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1376219667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 DE ZAVALA RD APT 2118",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492260",
            "telephone_number": "210-214-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 DE ZAVALA RD APT 2118",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492260",
            "telephone_number": "210-214-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "TYNIKA",
        "middle_name": "DANELL",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278C0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Certified, Critical Care",
            "state": "TX",
            "license": "64745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.