Renee Holmes, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

201130152LPN Issued in OR

Practice address

1121 NE 2ND Ave
Portland, OR 97232-2043

Phone

(503) 731-8620

NPI assigned

Sep 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Renee Tiffany-Luna Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1821349150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7222 SW SCHOLLS FERRY RD",
            "address_2": "APT 2",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970084067",
            "telephone_number": "503-475-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 NE 2ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322043",
            "telephone_number": "503-731-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "RENEE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201130152LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "TIFFANY-LUNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kiante Holmes
• Lauren Holmes
• Lauren Rebecca Holmes, P.A.-C
• Nancy Irey Holmes, PSYD
• Rebecca Emily Holmes, LCSW
• Rhoda Michelle Holmes
• Richard Arthur Holmes
• Sarah Elizabeth Rosemary Holmes
• Shelda Holmes, FNP
• Stephen C Holmes, MD

• Licensed Practical Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.