Individual provider Active NPI

Jared Clark Holman, ARNP

  • Family Nurse Practitioner
  • Truth Or Consequences, NM
National Provider Identifier
1922358886
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
90721 Issued in NM
Practice address
800 E 9TH Ave
Truth Or Consequences, NM 87901-1954
Phone
(575) 894-3221
Fax
(575) 894-4999
NPI assigned
Sep 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 90721 NM Primary

Addresses

Primary practice location

800 E 9TH Ave
Truth Or Consequences, NM 87901-1954

Mailing address

800 E 9TH Ave
Truth Or Consequences, NM 87901-1954
Phone (575) 894-3221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20130129000086 WA Practitioner - Nurse Practitioner 9436303450 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frontier Behavioral HealthGroup PAC ID 5092603340, 39 clinicians

Practice addresses (Care Compare)

107 S Division St
Spokane, WA 99202-1510
Phone (509) 838-4651

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60307279WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth Washington PC CurrentSince Aug 1, 2023 Accepting new patients
Dispatchhealth Advanced Care - Washington PC CurrentSince Aug 1, 2023 Accepting new patients
Multicare Health System CurrentSince Jun 3, 2019 Accepting new patients
Frontier Behavioral Health Nurse Practitioner CurrentSince Feb 24, 2025 Accepting new patients
Multicare Health System CurrentSince Jun 3, 2019 Accepting new patients
Multicare Health System Current Accepting new patients
Tri-Cities Community Health Past Accepting new patients
Tri Cities Community Health Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1411 4th Ave
Seattle, WA 98101
Phone (253) 271-9720

1401 N Calispel St
Spokane, WA 99201
Phone (406) 740-2150

107 S Division St
Spokane, WA 99202
Phone (509) 383-4651

200 N Mullan Rd
Ste 124
Spokane Valley, WA 99206
Phone (509) 408-2107

920 N Argonne Rd
Ste 115
Spokane Valley, WA 99212
Phone (509) 408-2107

6240 Tacoma Mall Blvd
Ste 101
Tacoma, WA 98409
Phone (253) 271-9720

Interoperability endpoints

  • Direct secure messaging: jared.holman@114099081379844.direct.elationemr.com

Organizations & group practices 8

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": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1922358886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 9TH AVE",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879011954",
            "telephone_number": "575-894-3221",
            "fax_number": "575-894-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 9TH AVE",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879011954",
            "telephone_number": "575-894-3221",
            "fax_number": "575-894-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "JARED",
        "middle_name": "CLARK",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-18",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "90721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truth Or Consequences, NM

Sources for this page

Verify at the official NPI Registry.