Jessica Elizabeth Holmes, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R178339 Issued in MD

Practice address

1814 Bel Air Rd Ste 300
Fallston, MD 21047-2730

Phone

(410) 694-7411

Fax

(410) 694-7410

NPI assigned

Oct 21, 2014

Last updated

Dec 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Cambiare Health and Wellness LLCGroup PAC ID 7517358179, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cambiare Health and Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fallston, MD
  • NPI 1609531904
  Medicare reassignment Care Compare group NPD Authorized official
• Privia Care Center LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1164874426

  MD

  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC, MD

  Medicare reassignment NPD
• Cambiare Health and Wellness LLC

  • Primary Care Clinic/Center
  • Bel Air, MD
  • NPI 1114523495
  NPD Authorized official
• Privia Care Center LLC

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1730664012
  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1992109805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 BEL AIR RD STE 300",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472730",
            "telephone_number": "410-694-7411",
            "fax_number": "410-684-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 BEL AIR RD STE 300",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472730",
            "telephone_number": "410-694-7411",
            "fax_number": "410-694-7410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 W Courtland St",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210143701",
            "country_code": "US",
            "telephone_number": "410-838-3442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 W Courtland St",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210143701",
            "country_code": "US",
            "telephone_number": "410-838-3442",
            "fax_number": "410-838-3341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7055 Samuel Morse Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210463439",
            "country_code": "US",
            "telephone_number": "410-910-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R178339",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R178339",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R178339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing Current LLC
• Healing Harford LLC
• William Lawrence Henderson, PHARMD
• Jessica K Heriot, LCSWC
• Sara Hoffman, LCSW-C
• Kerry Lynn Hospelhorn, LCSW-C
• Icare Transportation Services
• Integrative Brain Health LLC
• Sheena Rose Johlitz, CRNP
• William Michael Kenney, DDS MS

• Psychiatric/Mental Health Nurse Practitioner in Fallston, MD
• Providers in Fallston, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.
• 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.