Gregory Bernt Holm, PH.D., ARNP-C, FAANP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN.0990175-NP Issued in CO

Practice address

595 Russell St
Craig, CO 81625-1920

Phone

(970) 826-0911

Fax

(970) 826-0910

NPI assigned

Jun 30, 2005

Last updated

Feb 19, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1922005412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 RUSSELL ST",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816251920",
            "telephone_number": "970-826-0911",
            "fax_number": "970-826-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 RUSSELL ST",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816251920",
            "telephone_number": "970-826-0911",
            "fax_number": "970-826-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLM",
        "first_name": "GREGORY",
        "middle_name": "BERNT",
        "name_prefix": "Dr.",
        "credential": "PH.D., ARNP-C, FAANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1801062",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0990175-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001446100",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Hemeyer, PHARM.D.
• Michelle A Henderson, BS
• Molly Alice Herod
• Jillian M. Hess, MD
• Jamie Sue Hodom, CMT
• Joshua Holm, RN
• Suzanne M Holm, NP
• Horizons Specialized Services
• Horizons Specialized Services
• Horizons Specialized Services

• Nurse Practitioner in Craig, CO
• Providers in Craig, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.