Katie C Holmes, RNFA, NP

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

803415 Issued in TX

Practice address

3650 Laurel St
Beaumont, TX 77707-2216

Phone

(409) 838-0346

Fax

(409) 839-3720

NPI assigned

Jan 28, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1952865552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 LAUREL ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072216",
            "telephone_number": "409-838-0346",
            "fax_number": "409-839-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 LAUREL ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072216",
            "telephone_number": "409-838-0346",
            "fax_number": "409-839-3720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Jimmy Johnson Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Port Arthur",
            "state": "TX",
            "postal_code": "776402013",
            "country_code": "US",
            "telephone_number": "409-729-5633",
            "fax_number": "409-729-9760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "KATIE",
        "middle_name": "C",
        "credential": "RNFA, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "803415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "803415",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Augusta Hollier
• Raegan Hollier, MED, LPC
• Demetricia Ann Holloway, CGC
• James L Holly, M. D.
• Christunya Holmes-Prejean, PHARMD
• Kermi Holmes
• Krystal Kymberlie Holmes, PHARMD
• Michael W Holmes, MD
• Pachine Holmes
• Richard Kyle Holmes, CRNA

• Registered Nurse First Assistant in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Registered Nurse First Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.