Individual provider Active NPI

Katelyn Rita Holmes, CNM

  • Advanced Practice Midwife
  • Baltimore, MD
National Provider Identifier
1841935772
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AC006611 Issued in MD
Practice address
419 W Redwood St Ste 500
Baltimore, MD 21201-7001
Phone
(667) 214-1300
Fax
(410) 328-2648
NPI assigned
May 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 0024184251 VA
Advanced Practice Midwife 367A00000X AC006611 MD Primary

Addresses

Primary practice location

419 W Redwood St Ste 500
Baltimore, MD 21201-7001

Mailing address

250 W Pratt St Ste 880
Baltimore, MD 21201-6829
Phone (667) 214-1302

Other practice location 1

1111 N Charles St
Baltimore, MD 21201-5505
Phone (410) 837-2050

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://7917.portal.athenahealth.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230629003774 VA Practitioner - Certified Nurse Midwife (CNM) 5193180495 Reassigns benefits to 1 organization
I20241120000375 MD Practitioner - Certified Nurse Midwife (CNM) 5193180495 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AC006611MDMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
University of MD Obstetrical and Gynecological Asso. PA CurrentSince Nov 11, 2024 Accepting new patients
Chase Brexton Health Services, Inc. CurrentSince Oct 7, 2024 Accepting new patients
Chase Brexton Health Services, Inc. CurrentSince Oct 7, 2024 Accepting new patients
Obstetrical and Gynecological Assoc of the University of Maryland PA Past Accepting new patients

Locations

250 W Pratt St
Ste 880
Baltimore, MD 21201

120 Penn St
Baltimore, MD 21201
Phone (410) 328-8336

1111 N Charles St
Baltimore, MD 21201
Phone (410) 486-5991

419 W Redwood St
Ste 500
Baltimore, MD 21201
Phone (410) 328-6640

Interoperability endpoints

  • Direct secure messaging: katelyn.holmes.1@7917.direct.athenahealth.com

Organizations & group practices 5

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": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1841935772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W PRATT ST STE 880",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212016829",
            "telephone_number": "667-214-1302",
            "fax_number": "410-328-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST STE 500",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212017001",
            "telephone_number": "667-214-1300",
            "fax_number": "410-328-2648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 N Charles St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212015505",
            "country_code": "US",
            "telephone_number": "410-837-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "KATELYN",
        "middle_name": "RITA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024184251",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "AC006611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://7917.portal.athenahealth.com/",
            "affiliation": "N",
            "endpointDescription": "Patient Portal",
            "address_1": "4660 Kenmore Ave Ste 902",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223041306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.