Individual provider Active NPI

Rebecca Gay Holmes, NP

  • Family Nurse Practitioner
  • Bogalusa, LA
National Provider Identifier
1831707470
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
229102 Issued in LA
Practice address
617 Avenue F
Bogalusa, LA 70427-3637
Phone
(985) 545-1070
Fax
(985) 545-1071
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 229102 LA Primary
Family Medicine Physician 207Q00000X 904031 MS

Addresses

Primary practice location

617 Avenue F
Bogalusa, LA 70427-3637

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (985) 730-6970

Other practice location 1

79630 Highway LA 21
Bush, LA 70431
Phone (985) 730-2252

Other practice location 2

1810 Lindberg Dr Ste 1100
Slidell, LA 70458-8158
Phone (985) 646-0945

Other practice location 3

42 Atley Holmes Rd # Rs
Jayess, MS 39641-8272
Phone (601) 341-0762

Electronic endpoints 4

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other
Direct Messaging Address rholmes5165253@direct.casso.us.com Direct
Direct Messaging Address rholmes5165253@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201217000197 MS Practitioner - Nurse Practitioner 8729490677 Reassigns benefits to 1 organization
I20230131002890 LA Practitioner - Nurse Practitioner 8729490677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

433 Plaza St
Bogalusa, LA 70427-3729
Phone (985) 730-6706

617 Ave F
Bogalusa, LA 70427-3637
Phone (985) 730-6706

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
904031MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Mississippi, PLLC CurrentSince Dec 1, 2020 Accepting new patients
Wash-St Tammany Reg Medical Center Nurse Practitioner Current Accepting new patients
Fast Pace Mississippi, PLLC Nurse Practitioner CurrentSince Dec 1, 2020 Accepting new patients
Our Lady of the Lake Physician Group LLC Nurse Practitioner Past Accepting new patients
Washington St. Tammany Regional Medical Center Past Accepting new patients

Locations

433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

Interoperability endpoints

  • Direct secure messaging: rholmes5165253@direct.casso.us.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1831707470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "985-730-6970",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 AVENUE F",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273637",
            "telephone_number": "985-545-1070",
            "fax_number": "985-545-1071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79630 Highway LA 21",
            "address_purpose": "LOCATION",
            "city": "Bush",
            "state": "LA",
            "postal_code": "70431",
            "country_code": "US",
            "telephone_number": "985-730-2252",
            "fax_number": "985-730-2258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1810 Lindberg Dr Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704588158",
            "country_code": "US",
            "telephone_number": "985-646-0945",
            "fax_number": "985-643-8510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42 Atley Holmes Rd # Rs",
            "address_purpose": "LOCATION",
            "city": "Jayess",
            "state": "MS",
            "postal_code": "396418272",
            "country_code": "US",
            "telephone_number": "601-341-0762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "REBECCA",
        "middle_name": "GAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "229102",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "904031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHOR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1416 Gobbler Head Dr",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704276091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rholmes5165253@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rholmes5165253@direct.casso.us.com",
            "address_1": "2647 S Saint Elizabeth Blvd Ste 308",
            "city": "Gonzales",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707375020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rholmes5165253@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rholmes5165253@direct.casso.us.com",
            "address_1": "1416 Gobbler Head Dr",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704276091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2647 S Saint Elizabeth Blvd Ste 308",
            "city": "Gonzales",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707375020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

Verify at the official NPI Registry.