Kelsey Rhea Holmes, APRN

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

ARNP9329749 Issued in FL

Practice address

4611 US Highway 17
Fleming Island, FL 32003-8245

Phone

(904) 264-4333

Fax

(904) 264-4301

NPI assigned

Jul 6, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelseyholmes@ip-fl1.direct.office.nextgen.com

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.

• Childrens Hospital of the Kings Daughters Inc

  • Urgent Care Clinic/Center
  • Chesapeake, VA
  • NPI 1578954590

  VA

  Medicare reassignment NPD
• Pediatric Associates at Argyle PA

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1063557460
  NPD (past)
• Pediatric Associates at Argyle PA

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1144495466
  NPD (past)
• Shelly L. Hall M.D., P.a.

  • Pediatrics Physician
  • Orange Park, FL
  • NPI 1841231610
  NPD (past)

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1407239759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 US HIGHWAY 17",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038245",
            "telephone_number": "904-264-4333",
            "fax_number": "904-264-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 US HIGHWAY 17",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038245",
            "telephone_number": "904-264-4333",
            "fax_number": "904-264-4301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8351 Westport Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322445901",
            "country_code": "US",
            "telephone_number": "904-317-8811",
            "fax_number": "904-317-4949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "KELSEY",
        "middle_name": "RHEA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "FL",
            "license": "ARNP9329749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "APRN9329749",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Hicks, LCSW
• Rebecca Kaylee Hiers, RD
• Murren S Hill, PSYD
• Kara A Hogmire, PT
• Holiday CVS LLC
• Ashley Leigh Hooks, BCBA
• Jesse Thomas Horton, DPT
• Jason Matthew Hosch, PH.D., LCCC, LMHC
• Isaiah Tobias Howard
• Yvonne Hsia

• All providers in Fleming Island, FL
• Pediatric Clinical Nurse Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.

Verify at the official NPI Registry.