Olivia Holmes, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1013655 Issued in TX

Practice address

4112 Links LN Ste 102
Round Rock, TX 78664-3902

Phone

(512) 930-4776

NPI assigned

Oct 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Chisholm Trail Pediatrics Inc PA

  • Primary Care Clinic/Center
  • Georgetown, TX
  • NPI 1114112745
  NPD (past)

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1942964028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 OVERLOOK BND",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786412978",
            "telephone_number": "317-997-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 LINKS LN STE 102",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643902",
            "telephone_number": "512-930-4776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 High Tech Dr",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786268185",
            "country_code": "US",
            "telephone_number": "512-930-4776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "OLIVIA",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1013655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Holland-King, MT-BC
• Charles E Holland, PHD
• Jake Holland
• Joanta M Holmes, LMFT-A
• Karen I. Holmes, PA
• Molly Holody
• Kandi Holt
• Shelby Jessica Holt, DC
• Danny Jack Holtzclaw, DDS, MS
• Katie Benjegerdes Homan, MD

• Pediatric Nurse Practitioner in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.