Active NPI
Meaghan Jean Holmes, ARNP
- Acute Care Nurse Practitioner
- Southampton, NY
National Provider Identifier
1477959427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- F430889-1
- Practice address
- 240 Meeting House LN
Southampton, NY 11968 - Phone
- (631) 726-8960
- NPI assigned
- Nov 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 9291826 | FL | |
| Gerontology Nurse Practitioner | 363LG0600X | 9291826 | FL | |
| Acute Care Nurse Practitioner | 363LA2100X | F430889-1 | NY | Primary |
Addresses
Primary practice location
240 Meeting House LN
Southampton, NY 11968
Mailing address
516 2ND Ave
Bayport, NY 11705-1314
Phone (954) 682-5362
Other practice location 1
101 hospital road
patchouge, NY 11772
Phone (631) 687-4285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9291826 | FL | MD | Acute Care Nurse Practitioner |
| F430889-1 | NY | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1477959427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 2ND AVE",
"city": "BAYPORT",
"state": "NY",
"postal_code": "117051314",
"telephone_number": "954-682-5362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MEETING HOUSE LN",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "11968",
"telephone_number": "631-726-8960"
}
],
"practiceLocations": [
{
"address_1": "101 hospital road",
"address_purpose": "LOCATION",
"city": "patchouge",
"state": "NY",
"postal_code": "11772",
"country_code": "US",
"telephone_number": "631-687-4285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLMES",
"first_name": "MEAGHAN",
"middle_name": "JEAN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-18",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "9291826",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "9291826",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NY",
"license": "F430889-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southampton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.