Individual provider Active NPI

Rocky Holmes, FNP

  • Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1407991086
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R685993 Issued in MS
Practice address
232 Market St
Flowood, MS 39232-3339
Phone
(337) 991-9276
Fax
(337) 943-0846
NPI assigned
Feb 21, 2007
Last updated
Mar 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R685993 MS Primary
Family Nurse Practitioner 363LF0000X APN8335 TN

Addresses

Primary practice location

232 Market St
Flowood, MS 39232-3339

Mailing address

3856 Hwy 57 West
PO Box 99
Ramer, TN 38367
Phone (731) 645-6118

Other identifiers 1

IdentifierTypeStateIssuer
APN8335OtherTNMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20190109001821 TN Practitioner - Nurse Practitioner 4587632013 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R685993MSMDNurse Practitioner
APN8335TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Clinic of Oxford Nurse Practitioner CurrentSince Dec 1, 2010 Accepting new patients
Curana Health of Tennessee LLC Nurse Practitioner CurrentSince Dec 3, 2018 Accepting new patients
Digital Diagnostic Imaging Inc Past Accepting new patients

Locations

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

1487 Belk Blvd
Oxford, MS 38655
Phone (601) 234-1090

5865 Ridgeway Center Pkwy
Memphis, TN 38120
Phone (901) 219-1295

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IABFAA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1407991086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3856 HWY 57 WEST",
            "address_2": "PO BOX 99",
            "city": "RAMER",
            "state": "TN",
            "postal_code": "38367",
            "telephone_number": "731-645-6118",
            "fax_number": "731-645-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MARKET ST",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323339",
            "telephone_number": "337-991-9276",
            "fax_number": "337-943-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "ROCKY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R685993",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN8335",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "APN8335",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.