MR. CORRIN N HOLM SR. RPA(CBRPA)
NPI 1104016989
Radiology Practitioner Assistant in Jackson, MI

Q: What is Corrin Holm's NPI number?

The NPI number for Corrin Holm is 1104016989. It was assigned to this individual provider in the NPPES registry on July 27, 2007.

Q: What is Corrin Holm's specialty?

The primary specialty registered for this NPI is Radiology Practitioner Assistant with taxonomy code 243U00000X.

Q: When was this NPI record last updated?

The NPPES record for Corrin Holm was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 27, 2007

205 N EAST AVE, JACKSON, MI 49201(517) 205-4800 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2021, Nov 6, 2021 (2 updates tracked since 2021).

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About Mr. Corrin N Holm Sr. Rpa(cbrpa) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CORRIN N HOLM SR. RPA(CBRPA) (NPI 1104016989) is an individual radiology practitioner assistant in Jackson, Michigan and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1104016989

Entity TypeIndividualMale

Primary Taxonomy243U00000X

Provider Legal NameMR. CORRIN N HOLM SR.Credential: RPA(CBRPA)

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing AddressPo Box 65Hastings, MI 49058-0065

Phone(517) 205-4800

Sole ProprietorNo

Enumeration DateJuly 27, 2007

Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration

NPPES CertifiedDecember 13, 2021

✔ NPI 1104016989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology Practitioner AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code243U00000X

Definition

A Radiology Practitioner Assistant (RPA) is a health professional certified as a registered radiographer with the American Registry of Radiologic Technologists (ARRT) and, in addition, is credentialed to provide primary radiology health care with radiologist supervision. Radiology Practitioner Assistants are qualified by graduation from an educational program recognized by the Board of Directors of athe Certification Board for Radiology Practitioner Assistants (CBRPA) and certified by the CBRPA. Within the Radiologist/RPA relationship, Radiology Practitioner Assistants exercise autonomy in decision making in the role of a primary caregiver with regard to patient assessment, patient management and in providing a broad range of radiology diagnostic and interventional services. The clinical role of the Radiology Practitioner Assistant includes primary and specialty care in radiology practice settings in rural and urban areas.

Also ListedRadiologic TechnologistTaxonomy 247100000X

Also ListedRadiologic Technologist · Computed TomographyTaxonomy 2471C3401X

205 N EAST AVE, Jackson, MI 49201

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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