Individual provider Active NPI

Cathryn Holman

  • Pediatric Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1376894352
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R113940 Issued in MD
Practice address
1285 Hillcrest Dr
Frederick, MD 21703-1396
Phone
(227) 203-1672
Fax
(227) 203-1668
NPI assigned
Oct 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R113940 MD Primary

Addresses

Primary practice location

1285 Hillcrest Dr
Frederick, MD 21703-1396

Mailing address

100 S Market St
Frederick, MD 21701-5527
Phone (301) 600-1504

Other practice location 1

87 Thomas Johnson Dr Ste 101
Frederick, MD 21702-4427
Phone (301) 694-0606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20130307000205 MD Practitioner - Nurse Practitioner 9234384702 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R113940MDMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Frederick CurrentSince Aug 18, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

100 S Market St
Frederick, MD 21701
Phone (301) 600-1393

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1376894352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MARKET ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015527",
            "telephone_number": "301-600-1504",
            "fax_number": "301-600-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 HILLCREST DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217031396",
            "telephone_number": "227-203-1672",
            "fax_number": "227-203-1668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 Thomas Johnson Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024427",
            "country_code": "US",
            "telephone_number": "301-694-0606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "CATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R113940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.