Provider Type Icon

MARY BRANTLEY HOLMES WHNP NPI 1588001556


NPI Information

NPI: 1588001556
Provider Name: MARY BRANTLEY HOLMES, WHNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
5821 STAPLES MILL RD
RICHMOND, VA
ZIP 23228
Phone: (804) 264-0966
Get Directions

Mary Brantley Holmes, WHNP is a primary care nurse practitioner in Richmond, VA with 24 years of experience. Mary Brantley Holmes, WHNP NPI is 1588001556. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

5821 STAPLES MILL RD
RICHMOND, VA
ZIP 23228-427
Phone: (804) 264-0966
Fax: (804) 264-1029

The NPI 1588001556 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/30/2013 and was last updated on 10/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP2300XNurse PractitionerPrimary Care0024164678VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10017137293OTHERVIRGINIALICENSED NURSE PRACTITIONER- AUTHORIZATION TO PRESCRIBE
20024164678OTHERVIRGINIALICENSE TO PRACTICE AS A LISENSED NURSE PRACTITIONER- WOMEN'S HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.