Individual provider Active NPI

Deborah E Holman, CRNA

  • Certified Registered Nurse Anesthetist
  • Des Plaines, IL
National Provider Identifier
1730427212
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209010124 Issued in IL
Practice address
2750 S River Rd
Des Plaines, IL 60018-4103
Phone
(847) 921-9733
NPI assigned
Jan 18, 2013
Last updated
May 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209010124 IL Primary

Addresses

Primary practice location

2750 S River Rd
Des Plaines, IL 60018-4103

Mailing address

2750 S River Rd
Des Plaines, IL 60018-4103
Phone (630) 589-6020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131115000510 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234365578 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Loyola University of Chicago, Stritch School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arete Anesthesia LLCGroup PAC ID 6709161961, 11 clinicians

Practice addresses (Care Compare)

2750 S River Rd
Des Plaines, IL 60018-4103
Phone (847) 470-8740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Elmhurst Anesthesiologists, PC CurrentSince Aug 5, 2024 Accepting new patients

Locations

1200 S York St
Elmhurst, IL 60126
Phone (331) 221-5678

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1730427212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 S RIVER RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184103",
            "telephone_number": "630-589-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 S RIVER RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184103",
            "telephone_number": "847-921-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "DEBORAH",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209010124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.