KATIE C HOLMES (NPI# 1952865552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952865552 |
| Entity Type | Individual |
| Full Name | KATIE C HOLMES |
| Credential | RNFA, NP |
| Practice Address |
3650 Laurel St Beaumont TX 77707-2216 |
| Practice Telephone | 4098380346 |
| Practice Fax Number | 4098393720 |
| Mailing Telephone | 4098380346 |
| Mailing Fax Number | 4098393720 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
803415 | TX | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | REGISTERED NURSE | 803415 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2501 Jimmy Johnson Blvd Ste 400, Port Arthur, TX 776402013 | 4097295633 | 4097299760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538214879 | Katie M Holmes | Social Worker | 14 Shore Lane, Bay Shore, NY 11706-8734 | 2007-01-25 |
| 1831425289 | Katie Holmes | Occupational Therapist | 3821 Wilson Blvd, Arlington, VA 22203-1981 | 2009-10-20 |
| Street Address |
3650 LAUREL ST |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77707-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346224359 | Sezefredo Paulo Depaiva | Orthopaedic Surgery | 3650 Laurel St, Beaumont, TX 77707-2216 | 2005-12-02 |
| 1316561715 | Brittany Paige Ellis | Registered Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2020-06-01 |
| 1497239891 | Kristen Bradley | Registered Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2018-09-20 |
| 1619454220 | Traci Ann Rizk | Registered Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2018-07-26 |
| 1578076972 | Jason Sikes | Nurse Practitioner | 3650 Laurel St, Beaumont, TX 77707-2216 | 2017-11-08 |
| 1639431661 | Darryl Thomas Blalock | Orthopaedic Surgery | 3650 Laurel St, Beaumont, TX 77707-2216 | 2012-06-14 |
| 1447512843 | Jeffrey Craig Humphrey | Nurse Practitioner | 3650 Laurel St, Beaumont, TX 77707-2216 | 2012-06-12 |
| 1679880785 | Jessica Joanne Bobinger | Specialist/Technologist, Other | 3650 Laurel St, Beaumont, TX 77707-2216 | 2010-09-10 |
| 1972833085 | Audrey Helen Reyenga | Physician Assistant | 3650 Laurel St, Beaumont, TX 77707-2216 | 2010-01-12 |
| 1417286261 | Dee Ann Vines | Licensed Vocational Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2009-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437718004 | Kelsey Marie Burt | Speech-Language Pathologist | 87 I-10, Beaumont, TX 77707 | 2019-06-07 |
| 1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
| 1598321663 | Kacy Keitha Priddy | Occupational Therapist | 1846 I-10 S, Suite 102, Beaumont, TX 77707 | 2019-05-14 |
| 1144791963 | Jeffery Ray Manzer | Counselor | 3350 Dowlen Rd Suite J, Beaumont, TX 77707 | 2018-12-06 |
| 1497247217 | Haley Hebert | Speech-Language Pathologist | 87 I 10 N, Suite 225, Beaumont, TX 77707 | 2018-06-06 |
| 1548712383 | Taylor Miguez | Speech-Language Pathologist | 87 I-10 Frontage Rd #225, Beaumont, TX 77707 | 2016-10-27 |
| 1720534043 | Jacie Woodson | Speech-Language Pathologist | 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 | 2016-08-28 |
| 1285187047 | Paula Boudreaux | Speech-Language Pathologist | 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 | 2016-07-28 |
| 1790138568 | Meagan Alyse Hartwick | Speech-Language Pathologist | 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 | 2016-07-18 |
| 1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
| Find all providers in zip 77707 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811479348 | Trahan Surgical Group LLC | Registered Nurse | 12050 Woodland Cir, Beaumont, TX 77705-6538 | 2018-08-31 |
| 1285895342 | Charity Renee Hein | Registered Nurse | 17782 Fm 365 Rd, Beaumont, TX 77705-9164 | 2008-06-21 |
| 1316561715 | Brittany Paige Ellis | Registered Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2020-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639785355 | Angel Ramon Santos Mazquiaran | Registered Nurse | 3010 Fort Stockton Dr, Katy, TX 77449-6255 | 2020-09-17 |
| 1821638594 | Angela Noyola, LLC | Registered Nurse | 5512 Squires Dr, The Colony, TX 75056-1363 | 2020-01-10 |
| 1245878669 | Amy G Box | Registered Nurse | 8915 San Fernando Way, Dallas, TX 75218-4036 | 2019-12-16 |
| 1518509397 | Rnfa Lucent Surgical Solutions | Registered Nurse | 11604 Bay Crossing Dr, Pearland, TX 77584-8184 | 2019-10-12 |
| 1801444989 | Park Row Surgical Services | Registered Nurse | 2315 Shelby Park Dr, Katy, TX 77450-6601 | 2019-08-31 |
| 1447805866 | Jd Surgical Group LLC | Registered Nurse | 2453 White Settlement Rd, Weatherford, TX 76087-7202 | 2019-08-02 |
| 1588220719 | Acba Rnfa LLC | Registered Nurse | 1717 Annex Ave Unit 105, Dallas, TX 75204-4645 | 2019-05-13 |
| 1932687688 | Tannia Reyna Hewlett | Registered Nurse | 2001 Eastpark Dr, Richardson, TX 75081-5429 | 2018-08-04 |
| 1447749643 | Jennifer Aquino Wong | Registered Nurse | 3418 Woodbine Pl, Pearland, TX 77584-4863 | 2018-05-03 |
| 1508373820 | Tatiana Soldevere | Registered Nurse | 1904 Creek Bend Dr, Corinth, TX 76208-5182 | 2018-01-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.