Holmes Family Practice, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HOLMES FAMILY PRACTICE, PC

Doing business as

Holmes Family Care

Practice address

2564 NW Edenbower Blvd, Suite 126
Roseburg, OR 97471

Phone

(541) 672-7718

NPI assigned

Jun 29, 2021

Last updated

Nov 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Holmes, MDNPI 1124339544

Title

Physician/Owner

Phone

(541) 672-7718

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Holmes Family Care Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather Rebecca Holmes, MD

  • Family Medicine Physician
  • Rosenburg, OR
  • NPI 1124339544
  Medicare reassignment NPD Authorized official
• Karen Anne Blundon, PA-C

  • Physician Assistant
  • Springfield, OR
  • NPI 1447561899
  NPD (past)
• Jenna Ashley Brassart, IBCLC

  • Lactation Consultant (Non-RN)
  • Roseburg, OR
  • NPI 1639757081
  NPD (past)

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1972173235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2564 NW EDENBOWER BLVD, SUITE 126",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "97471",
            "telephone_number": "541-672-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2564 NW EDENBOWER BLVD, SUITE 126",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "97471",
            "telephone_number": "541-672-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMES FAMILY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "541-672-7718",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500803863",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holmes Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mandy Irene Holford, LPN
• Janet L Holland, LCSW
• Debi Hollander
• William T. Hollander, M.D.
• Jeremy C Hollingsead, FNP
• Barbara J. Holmes, RN
• Jeremy D Holst
• Robert Gary Holt, M.D.
• Home Town Drugs of Roseburg Inc (Hometown Drugs)
• Home Town Drugs of Roseburg Inc

• Primary Care Clinic/Center in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.