Sydney Ball Holmes

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

103 Leland Dr
Pikeville, NC 27863-8241

Phone

(919) 524-1175

NPI assigned

Apr 11, 2019

Last updated

Sep 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Sprout Behavioral Health, PLLC

  • Behavior Analyst
  • Stafford, VA
  • NPI 1467192997
  NPD Authorized official

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1679036065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LELAND DR",
            "city": "PIKEVILLE",
            "state": "NC",
            "postal_code": "278638241",
            "telephone_number": "919-524-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 LELAND DR",
            "city": "PIKEVILLE",
            "state": "NC",
            "postal_code": "278638241",
            "telephone_number": "919-524-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "SYDNEY",
        "middle_name": "BALL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-19-34682",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026265E",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiny Sha'Tae Floyd
• Food Lion LLC (Food Lion Pharmacy)
• Amber Brooke Foss, FNP
• Kelly Ann Hammerbeck, NP-C
• Connie C Hargrove, CPSS
• Jodie Hudson, R.PH.
• Jaybird Lse PV05 LLC (The Indigo at Pikeville)
• Keke Komeko Johnson, CADC
• Michele Kibler
• Elizabeth Murray King, MS, LCAS

• Psychologist in Pikeville, NC
• Providers in Pikeville, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.