Active NPI
Donna Zenobia Holmes, LM, CPM
- Midwife
- Meridian, ID
National Provider Identifier
1487980108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MID-32
- Practice address
- 1935 W Boulder Bar Dr
Meridian, ID 83646 - Phone
- (208) 965-9125
- Fax
- (877) 203-1886
- NPI assigned
- Oct 30, 2009
- Last updated
- Apr 23, 2012
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | 231 | FL | |
| Midwife | 176B00000X | 09100004 | FL | |
| Midwife | 176B00000X | MID-32 | ID | Primary |
Addresses
Primary practice location
1935 W Boulder Bar Dr
Meridian, ID 83646
Mailing address
1935 W Boulder Bar Dr
Meridian, ID 83646-5944
Phone (208) 965-9125
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 |
|---|---|---|---|
| 231 | FL | MD | Health Educator |
| 09100004 | FL | MD | Midwife |
| MID-32 | ID | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335139200000",
"number": "1487980108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 W BOULDER BAR DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836465944",
"telephone_number": "208-965-9125",
"fax_number": "877-203-1886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 W BOULDER BAR DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83646",
"telephone_number": "208-965-9125",
"fax_number": "877-203-1886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "DONNA",
"middle_name": "ZENOBIA",
"credential": "LM, CPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-30",
"last_updated": "2012-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "FL",
"license": "231",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "FL",
"license": "09100004",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "ID",
"license": "MID-32",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.