Active NPI
Regina Holmes, NP
- Family Nurse Practitioner
- Daly City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95017473
- Practice address
- 901 Campus Dr Ste 206B
Daly City, CA 94015-4932 - Phone
- (650) 356-8800
- NPI assigned
- Apr 20, 2021
- Last updated
- Jul 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95017473 | CA | Primary |
Addresses
Primary practice location
901 Campus Dr Ste 206B
Daly City, CA 94015-4932
Mailing address
9910 Powderhouse Dr
San Antonio, TX 78239-2051
Phone (210) 664-8266
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95017473 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassus Op of Texas LLC | Family Medicine | Current | Accepting new patients |
| Ronald Gordon Medical Corporation | Current | Accepting new patients |
Locations
901 Campus Dr
Ste 206B
Daly City, CA 94015
Phone (216) 965-3152
10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163
84 NE Loop 410
Ste 390
San Antonio, TX 78216
Phone (210) 731-0505
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.
-
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- Daly City, CA
- NPI 1407464654
-
dba Compassus - San Antonio
- Community Based Hospice Care Agency
- San Antonio, TX
- NPI 1215487475
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1790366722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9910 POWDERHOUSE DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782392051",
"telephone_number": "210-664-8266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 CAMPUS DR STE 206B",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940154932",
"telephone_number": "650-356-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "REGINA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-20",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95017473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.