Active NPI
Brianne Holmes, CPNP
- Pediatric Nurse Practitioner
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 24950
- Practice address
- 51 Nassau St
Charleston, SC 29403-5513 - Phone
- (843) 722-4112
- NPI assigned
- Oct 7, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN1035928 | DC | |
| Pediatric Nurse Practitioner | 363LP0200X | R218831 | MD | |
| Pediatric Nurse Practitioner | 363LP0200X | 24950 | SC | Primary |
Addresses
Primary practice location
51 Nassau St
Charleston, SC 29403-5513
Mailing address
1220 Orange Branch Rd
Charleston, SC 29407-3302
Phone (269) 352-9910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R218831 | MD | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fetter Health Care Network, Inc | Current | Accepting new patients | |
| Fetter Health Care Network, Inc. | Current | Accepting new patients | |
| Fetter Health Care Network, Inc. | Current | Accepting new patients | |
| Fetter Health Care Network, Inc. | Current | Accepting new patients | |
| Fetter Health Care Network, Inc. | Current | Accepting new patients | |
| Fetter Health Care Network, Inc. | Current | Accepting new patients | |
| Fetter Health Care Network, Inc. | Current | Accepting new patients | |
| Children'S Hospital | Past | Accepting new patients |
Locations
35 Walnut St
Charleston, SC 29403
Phone (843) 723-9477
51 Nassau St
Charleston, SC 29403
106 W Main St
Moncks Corner, SC 29461
Phone (843) 761-1995
679 Orangeburg Rd
Unit F
Summerville, SC 29483
Phone (843) 261-2600
130 Varnfield Dr
Ste 100
Summerville, SC 29483
Phone (843) 821-3444
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Charleston, SC
- NPI 1003827304
-
- Federally Qualified Health Center (FQHC)
- Summerville, SC
- NPI 1457007841
-
- Federally Qualified Health Center (FQHC)
- Summerville, SC
- NPI 1518454818
-
- Federally Qualified Health Center (FQHC)
- Moncks Corner, SC
- NPI 1659872059
-
- Federally Qualified Health Center (FQHC)
- Charleston, SC
- NPI 1982124301
-
- Federally Qualified Health Center (FQHC)
- Summerville, SC
- NPI 1174378707
-
- Federally Qualified Health Center (FQHC)
- Walterboro, SC
- NPI 1528786415
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1982074613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 ORANGE BRANCH RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294073302",
"telephone_number": "269-352-9910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 NASSAU ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294035513",
"telephone_number": "843-722-4112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "BRIANNE",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-07",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "DC",
"license": "RN1035928",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "R218831",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "SC",
"license": "24950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.