Individual provider Active NPI

Christina Michele Holmes, MD

  • Pediatrics Physician
  • Connersville, IN
National Provider Identifier
1699917013
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01071450A Issued in IN
Practice address
1473 E State Road 44
Connersville, IN 47331-8374
Phone
(765) 825-2229
NPI assigned
Mar 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01071450A IN Primary

Addresses

Primary practice location

1473 E State Road 44
Connersville, IN 47331-8374

Mailing address

1100 Reid Parkway
Medical Staff Services
Richmond, IN 47374-1157
Phone (765) 935-8802

Other practice location 1

8414 Naab Rd
Indianapolis, IN 46260-1972
Phone (317) 338-7532

Other practice location 2

4778 S Scatterfield Rd
Anderson, IN 46013-2908
Phone (765) 646-6331

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cholmes396398@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121102000193 IN Practitioner - Pediatric MedicinePractitioner - Family Practice 4082865878 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01071450AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Physician Associates, Inc. CurrentSince Mar 16, 2020 Accepting new patients
Reid Physician Associates, Inc CurrentSince Mar 16, 2020 Accepting new patients
Reid Health Ambulance, Inc. PastSince Mar 16, 2020 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1473 E State Road 44
Connersville, IN 47331
Phone (765) 825-0511

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

Interoperability endpoints

  • FHIR API: https://epicproxy.et1220.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: cholmes396398@reidhealth.direct-ci.com

Organizations & group practices 4

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": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1699917013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PARKWAY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-935-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1473 E STATE ROAD 44",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473318374",
            "telephone_number": "765-825-2229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8414 Naab Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601972",
            "country_code": "US",
            "telephone_number": "317-338-7532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4778 S Scatterfield Rd",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460132908",
            "country_code": "US",
            "telephone_number": "765-646-6331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "CHRISTINA",
        "middle_name": "MICHELE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-31",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01071450A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cholmes396398@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1473 E State Road 44",
            "city": "Connersville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473318374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Connersville, IN

Sources for this page

Verify at the official NPI Registry.