Individual provider Active NPI

Wanda Alisa Holmes, APRN

  • Family Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1851576102
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN9165356 Issued in FL
Practice address
1205 N University Dr
Coral Springs, FL 33071-6620
Phone
(954) 780-8134
Fax
(954) 227-2710
NPI assigned
Jan 7, 2008
Last updated
Feb 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN9165356 FL Primary

Addresses

Primary practice location

1205 N University Dr
Coral Springs, FL 33071-6620

Mailing address

1205 N University Dr
Coral Springs, FL 33071-6620
Phone (954) 780-8134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20141009001610 FL Practitioner - Nurse Practitioner 3971723198 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solantic/South Florida LLCGroup PAC ID 5496762171, 27 clinicians

Practice addresses (Care Compare)

1205 N University Dr
Coral Springs, FL 33071-6620
Phone (954) 780-8134

1611 S Federal Hwy
Pompano Beach, FL 33062-7514
Phone (954) 580-4001

4450 N State Rd
7 Suite 1
Coral Springs, FL 33073-3354
Phone (954) 633-1422

9035 Pines Blvd
Pembroke Pines, FL 33024-6440
Phone (954) 378-0333

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Boynton Urgent Care, LLC Family Medicine CurrentSince Oct 16, 2019 Accepting new patients
Carespot of Orlando Hsi Urgent Care LLC Family Medicine CurrentSince Nov 15, 2019 Accepting new patients
Solantic of Jacksonville, LLC Family Medicine CurrentSince Jun 25, 2014 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince Jun 25, 2014 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Jun 25, 2014 Accepting new patients
Solantic/South Florida, LLC CurrentSince Jun 25, 2014 Accepting new patients

Locations

512 E Altamonte Dr
Ste 1000
Altamonte Springs, FL 32701
Phone (321) 319-0212

3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202

8756 Boynton Rd W
Ste 150
Boynton Beach, FL 33472
Phone (561) 740-2273

1205 N University Dr
Coral Springs, FL 33071
Phone (954) 780-8134

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

1414 E Osceola Pkwy
Kissimmee, FL 34744
Phone (407) 452-3700

18706 NW 67th Ave
Miami Gardens, FL 33015
Phone (786) 563-0280

2555 S Kirkman Rd
Orlando, FL 32811
Phone (407) 362-2030

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

115 Eastpark Dr
Ste 300
Brentwood, TN 37027

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1851576102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716620",
            "telephone_number": "954-780-8134",
            "fax_number": "954-227-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716620",
            "telephone_number": "954-780-8134",
            "fax_number": "954-227-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "WANDA",
        "middle_name": "ALISA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN9165356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.