Individual provider Active NPI

Brianne Holmes, CPNP

  • Pediatric Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1982074613
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
24950 Issued in SC
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

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240614002522 SC Practitioner - Nurse Practitioner 8921375262 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R218831MDMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fetter Health Care Network, Inc CurrentSince Apr 8, 2024 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Apr 8, 2024 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Apr 8, 2024 Accepting new patients
Fetter Health Care Network, Inc. Current Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Apr 8, 2024 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Apr 8, 2024 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Apr 8, 2024 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.

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

Verify at the official NPI Registry.