Veronica Holmes

Individual provider Active NPI School Registered Nurse · Newark, DE

NPI 1740324656 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1740324656
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
L10016268 (DE)
Practice address
200 Tyre Ave
Newark, DE 19711-7136
Phone
(302) 454-2047
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
L10016268DEMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X L10016268 DE Yes

Addresses

Primary practice location

200 Tyre Ave
Newark, DE 19711-7136

Mailing address

200 Tyre Ave
Newark, DE 19711-7136

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740324656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TYRE AVE",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TYRE AVE",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117136",
            "telephone_number": "302-454-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "VERONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "DE",
            "license": "L10016268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

All providers in Newark, DE · School Registered Nurse in Delaware

Sources for this page

Verify at the official NPI Registry.