NPIMap

Individual provider Active NPI

Marisol Holman, CPM, CDEM

  • Midwife
  • Indianapolis, IN
National Provider Identifier
1679875330
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Practice address
8202 Clearvista Pkwy Ste 8B
Indianapolis, IN 46256-1456
Phone
(317) 436-8306
NPI assigned
Nov 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X Primary

Addresses

Primary practice location

8202 Clearvista Pkwy Ste 8B
Indianapolis, IN 46256-1456

Mailing address

8202 Clearvista Pkwy Ste 8B
Indianapolis, IN 46256-1456
Phone (137) 436-8306

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sol Midwifery Services Midwife Current Accepting new patients
National Birth Centers, Inc. Past Accepting new patients
Edge Medical Services Past Accepting new patients
Private Healthcare Facilities Past Accepting new patients
Community Birth Group Past Accepting new patients

Locations

8202 Clearvista Pkwy
Ste 8B
Indianapolis, IN 46256
Phone (317) 436-8306

Organizations & group practices 5

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": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1679875330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 CLEARVISTA PKWY STE 8B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561456",
            "telephone_number": "137-436-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 CLEARVISTA PKWY STE 8B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561456",
            "telephone_number": "317-436-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "MARISOL",
        "name_prefix": "Ms.",
        "credential": "CPM, CDEM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.