Shakitta Tanae Holmes, LICENSED PRACTICAL

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2900491 Issued in NY

Practice address

6339 Mill St
Rhinebeck, NY 12572

Phone

(845) 871-1057

NPI assigned

Jul 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shakitta Holmes

  • Nursing Facility/Intermediate Care Facility
  • Poughkeepsie, NY
  • NPI 1538330378
  NPD (past) Authorized official

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1386807303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 BERMUDA BLVD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12601",
            "telephone_number": "845-452-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339 MILL ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "12572",
            "telephone_number": "845-871-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "SHAKITTA",
        "middle_name": "TANAE",
        "name_prefix": "Ms.",
        "credential": "LICENSED PRACTICAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2900491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl Michael Heymann, MD
• Rich Joseph Himberger, RPH
• Hobson Physical Therapy, PC
• Helena Maisa Hobson, P.T.
• Christa Marie Holberg, M.S., OTR/L
• Elizabeth Jean Horner, PA-C
• Lynn Hotaling, NP
• Hudson Valley Cardiovascular Practice, PC
• Hudson Valley Hematology Oncology Associates, RLLP
• Hudson Valley Ophthalmology PLLC

• Licensed Practical Nurse in Rhinebeck, NY
• Providers in Rhinebeck, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.