Active NPI
Jennifer Lynn Holmes, RN
- Medical-Surgical Registered Nurse
- Troy, NY
National Provider Identifier
1689008641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 22617752
- Practice address
- 153 5TH Ave
Apt 1
Troy, NY 12180-1014 - Phone
- (518) 364-0007
- NPI assigned
- Aug 27, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 22617752 | NY | Primary |
Addresses
Primary practice location
153 5TH Ave
Apt 1
Troy, NY 12180-1014
Mailing address
153 5TH Ave
Apt 1
Troy, NY 12180-1014
Phone (518) 364-0007
Other names 1
- Ms. Jennfer Lynn Bennett
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22617752 | NY | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1689008641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 5TH AVE",
"address_2": "APT 1",
"city": "TROY",
"state": "NY",
"postal_code": "121801014",
"telephone_number": "518-364-0007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 5TH AVE",
"address_2": "APT 1",
"city": "TROY",
"state": "NY",
"postal_code": "121801014",
"telephone_number": "518-364-0007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-27",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "NY",
"license": "22617752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNFER",
"last_name": "BENNETT",
"middle_name": "LYNN",
"prefix": "MS.",
"credential": "LPN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Troy, NY
- Jessica C Hoag, MS ED
- Darlene Hoffman, FNP
- Tara Lynn Hoffman
- Meaghan Patricia Hogan, FNP
- Margaret Isabelle Holcomb, CNM
- Home Aide Service of Eastern New York, Inc.
- Home Aide Service of Eastern New York, Inc.
- Home Aide Service of Eastern New York, Inc.
- Hoosdick Street Pediatrics
- Hoosick St. Pediatrics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.