Individual provider Active NPI

Cindy Oliver Holcomb, CFNP

  • Family Nurse Practitioner
  • Saltillo, MS
National Provider Identifier
1942276845
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R850782 Issued in MS
Practice address
2686 Highway 145
Saltillo, MS 38866-6941
Phone
(662) 869-8693
Fax
(662) 869-0110
NPI assigned
Feb 28, 2006
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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 R850782 MS Primary

Addresses

Primary practice location

2686 Highway 145
Saltillo, MS 38866-6941

Mailing address

PO Box 448
2686 Hwy 145 South Ste B
Saltillo, MS 38866-0448
Phone (662) 869-8693

Other identifiers 2

IdentifierTypeStateIssuer
06489045MedicaidMS
00125593MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20101103000077 MS Practitioner - Nurse Practitioner 7416041512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twincare Family ClinicGroup PAC ID 2163516261, 2 clinicians

Practice addresses (Care Compare)

2686 Hwy 145 S
Suite B
Saltillo, MS 38866-0448
Phone (662) 869-8693

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R850782MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Twincare Family Clinic CurrentSince Oct 1, 2001 Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1942276845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 448",
            "address_2": "2686 HWY 145 SOUTH STE B",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388660448",
            "telephone_number": "662-869-8693",
            "fax_number": "662-869-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2686 HIGHWAY 145",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388666941",
            "telephone_number": "662-869-8693",
            "fax_number": "662-869-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "CINDY",
        "middle_name": "OLIVER",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R850782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06489045",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125593",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saltillo, MS

Sources for this page

Verify at the official NPI Registry.