Active NPI
April Leslie Holm, APRN
- Pediatric Nurse Practitioner
- Davenport, FL
National Provider Identifier
1942594098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN9183307
- Practice address
- 2516 Sand Mine Rd
Davenport, FL 33897-3402 - Phone
- (863) 232-5527
- Fax
- (863) 438-2776
- NPI assigned
- Jun 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APRN9183307 | FL | Primary |
Addresses
Primary practice location
2516 Sand Mine Rd
Davenport, FL 33897-3402
Mailing address
2516 Sand Mine Rd
Davenport, FL 33897-3402
Phone (863) 232-5527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012761100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9183307 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Care of Four Corners PLLC | Past | Accepting new patients |
Interoperability endpoints
- april.holm.1@9737.direct.athenahealth.com
- https://api.platform.athenahealth.com/9737/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Davenport, FL
- NPI 1790185981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1942594098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2516 SAND MINE RD",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338973402",
"telephone_number": "863-232-5527",
"fax_number": "863-438-2776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2516 SAND MINE RD",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338973402",
"telephone_number": "863-232-5527",
"fax_number": "863-438-2776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLM",
"first_name": "APRIL",
"middle_name": "LESLIE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2022-01-17",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "APRN9183307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012761100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.