Active NPI
Rachel Holmes, CNA
- Nurse's Aide
- Meridian, ID
National Provider Identifier
1992065544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- ID000102321107
- Practice address
- 355 W Davenport St
Meridian, ID 83642-8137 - Phone
- (208) 559-0482
- NPI assigned
- May 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | ID000102321107 | ID | Primary |
Addresses
Primary practice location
355 W Davenport St
Meridian, ID 83642-8137
Mailing address
355 W Davenport St
Meridian, ID 83642-8137
Phone (208) 559-0482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ID000102321107 | ID | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337126400000",
"number": "1992065544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 W DAVENPORT ST",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428137",
"telephone_number": "208-559-0482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 W DAVENPORT ST",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428137",
"telephone_number": "208-559-0482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "RACHEL",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-16",
"last_updated": "2012-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "ID",
"license": "ID000102321107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.