SARA HOLMSTROM MD NPI 1093177396

NPI Information

  • NPI: 1093177396
  • Provider Name: SARA HOLMSTROM, MD
  • Classification: Emergency Medicine - 207PP0204X
  • Specialization: Pediatric Emergency Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 593 EDDY ST
    PROVIDENCE, RI
    ZIP 02903
  • Phone: (401) 444-4000

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NPI Details

Sara Holmstrom, MD is a pediatric emergency medicine emergency medicine in Providence, RI with 10 years of experience. The provider is pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. Sara Holmstrom, MD NPI is 1093177396. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

593 EDDY ST
PROVIDENCE, RI
ZIP 02903-923
Phone: (401) 444-4000

The NPI 1093177396 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 3/25/2016 and was last updated on 8/13/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics036.148722ILLINOISNo
2208000000XPediatrics01097096AINDIANANo
32080P0204XPediatricsPediatric Emergency Medicine01097096AINDIANANo
4207PP0204XEmergency MedicinePediatric Emergency MedicineMD18403RHODE ISLANDYes

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: 11/21/2025

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