Active NPI
Timothy Lynn Holcomb, D.C., FNP
- Family Nurse Practitioner
- Victoria, TX
National Provider Identifier
1407159544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP130832
- Practice address
- 2601 N Azalea St
Suite 31
Victoria, TX 77901-4146 - Phone
- (361) 485-0449
- NPI assigned
- Dec 13, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10365 | TX | |
| Chiropractor | 111N00000X | 5853 | FL | |
| Chiropractor | 111N00000X | 1660 | NC | |
| Family Nurse Practitioner | 363LF0000X | AP130832 | TX | Primary |
Addresses
Primary practice location
2601 N Azalea St
Suite 31
Victoria, TX 77901-4146
Mailing address
2601 N Azalea St
Suite 31
Victoria, TX 77901-4146
Phone (361) 485-0449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200430001858 | TX | Practitioner - Nurse Practitioner | 0446452320 | Practice locations: Victoria, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5853 | FL | MD | Optician |
| 1660 | NC | MD | Physical Therapy Assistant |
| AP130832 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C1C2 PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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": "1292198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1407159544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 N AZALEA ST",
"address_2": "SUITE 31",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779014146",
"telephone_number": "361-485-0449",
"fax_number": "361-485-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 N AZALEA ST",
"address_2": "SUITE 31",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779014146",
"telephone_number": "361-485-0449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCOMB",
"first_name": "TIMOTHY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C., FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-13",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10365",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "5853",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1660",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP130832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.