Individual provider Active NPI

Denise Holmes, APRN, CNP

  • Family Nurse Practitioner
  • New Philadelphia, OH
National Provider Identifier
1417517103
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024448 Issued in OH
Practice address
1045 W High Ave
New Philadelphia, OH 44663-2071
Phone
(330) 308-5432
NPI assigned
Jun 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.024448 OH Primary

Addresses

Primary practice location

1045 W High Ave
New Philadelphia, OH 44663-2071

Mailing address

1045 W High Ave
New Philadelphia, OH 44663-2071
Phone (330) 308-5432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20191227001379 OH Practitioner - Nurse Practitioner 9739513706 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024448OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center of Akron CurrentSince Oct 28, 2019 Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince Oct 28, 2019 Accepting new patients
Akron Children'S Hospital Current Accepting new patients
Children'S Hospital Medical Center of Akron Current Accepting new patients

Locations

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

807 Farson St
Ste 201C
Belpre, OH 45714
Phone (740) 423-3220

310 E 8th St
#130
Marietta, OH 45750
Phone (740) 373-7197

1045 W High Ave
New Philadelphia, OH 44663
Phone (330) 308-5432

Interoperability endpoints

  • Direct secure messaging: dholmes31756@direct.chmca.org

Organizations & group practices 4

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": "1560643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1417517103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 W HIGH AVE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446632071",
            "telephone_number": "330-308-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W HIGH AVE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446632071",
            "telephone_number": "330-308-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "DENISE",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-16",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Philadelphia, OH

Sources for this page

Verify at the official NPI Registry.