Individual provider Active NPI

La Tosha Holmes, CPNP-PC

  • Pediatric Nurse Practitioner
  • Webster, TX
National Provider Identifier
1841664489
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP129641 Issued in TX
Practice address
9 Professional Park Dr Ste 9C
Webster, TX 77598-4142
Phone
(832) 284-7083
Fax
(281) 525-4123
NPI assigned
Nov 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 729265 TX
Pediatric Nurse Practitioner 363LP0200X AP129641 TX Primary

Addresses

Primary practice location

9 Professional Park Dr Ste 9C
Webster, TX 77598-4142

Mailing address

9 Professional Park Dr Ste 9C
Webster, TX 77598-4142
Phone (832) 284-7083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210907000662 TX Practitioner - Nurse Practitioner 1658662325 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
729265TXMDEmergency Registered Nurse
AP129641TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Icare Family & Wound Clinic Current Accepting new patients
Icare Pediatrics PLLC CurrentSince Aug 9, 2021 Accepting new patients

Locations

9 Professional Park Dr
#9C
Webster, TX 77598
Phone (832) 301-1856

9 Professional Park Dr
Ste C
Webster, TX 77598
Phone (281) 316-2424

9 Professional Park Dr
Ste 9C
Webster, TX 77598
Phone (832) 284-7083

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1841664489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PROFESSIONAL PARK DR STE 9C",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984142",
            "telephone_number": "832-284-7083",
            "fax_number": "281-525-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 PROFESSIONAL PARK DR STE 9C",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984142",
            "telephone_number": "832-284-7083",
            "fax_number": "281-525-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "LA TOSHA",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "TX",
            "license": "729265",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP129641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.