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NPI ProfileIndividual NPI Record32 fields Similar Nearby40 providers

SUSAN DIANE HOLMES RN
NPI 1124193842
Registered Nurse - Community Health in Saint Louis, MO

Active since November 21, 2006

4000 JENNINGS STATION RD, SAINT LOUIS, MO 63121(314) 679-7873(314) 679-7876 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Susan Diane Holmes Rn NPPES

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

SUSAN DIANE HOLMES RN (NPI 1124193842) is an individual community health provider in Saint Louis, Missouri, licensed in Missouri (072618) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1124193842

Entity TypeIndividualFemale

Primary Taxonomy163WC1500X

Provider Legal NameSUSAN DIANE HOLMESCredential: RN

Location Address4000 JENNINGS STATION RDSaint Louis, MO 63121-3323

Mailing Address4000 Jennings Station RdSaint Louis, MO 63121-3323 · (314) 679-7873 · Fax (314) 679-7876

Phone(314) 679-7873

Fax(314) 679-7876

Sole ProprietorNo

Enumeration DateNovember 21, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1124193842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers

Taxonomy Code163WC1500X

License✔ Licensed in MO · 072618

4000 JENNINGS STATION RD, Saint Louis, MO 63121

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Other Identifiers 1

Other072618MO · Nursing Licensure Number

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Other Providers at the Same Location

The following 20 providers are registered at the same or a nearby location.

DR. JOHN A LAUTENSCHLAGER M.D.

Family Medicine

4000 JENNINGS STATION RD
SAINT LOUIS, MO 63121

St. Louis County (314) 679-7800

MRS. ANGELA R. PATTON RN

Registered Nurse (Community Health)

4000 JENNINGS STATION RD
SAINT LOUIS, MO 63121

St. Louis County (314) 679-7818

MRS. BRIDGET RENA RUSSELL RN, BS

Registered Nurse (Community Health)

4000 JENNINGS STATION RD
SAINT LOUIS, MO 63121

St. Louis County (314) 679-7916

MS. CORLISS ANNETTE CHRISTOPHER RN

Registered Nurse (Community Health)

4000 JENNINGS STATION RD
SAINT LOUIS, MO 63121

St. Louis County (314) 679-7825

LINDA H WELDON RN

Registered Nurse (Community Health)

4000 JENNINGS STATION RD
SAINT LOUIS, MO 63121

St. Louis County (314) 679-7824

LINDA MARIE BUCHANAN R.N.

Registered Nurse (Community Health)

4000 JENNINGS STATION RD
SAINT LOUIS, MO 63121

St. Louis County (314) 679-7868

MS. STACY RENEE YAMNITZ RN

Registered Nurse (Community Health)

4000 JENNINGS STATION RD
SAINT LOUIS, MO 63121

St. Louis County (314) 679-7800

MISS LAUREN WHITNEY STONE RN, BSN

Registered Nurse (Community Health)

4000 JENNINGS STATION RD
SAINT LOUIS, MO 63121

St. Louis County (314) 679-7914

SUSAN E WILLIS RN, BSN

Registered Nurse (Community Health)

4000 JENNINGS STATION RD
SAINT LOUIS, MO 63121

St. Louis County (314) 679-7826

Registered Nurse (Community Health)

4000 JENNINGS STATION RD
SAINT LOUIS, MO 63121

St. Louis County (314) 679-7915

STACEY J WHITE RN

Registered Nurse (Community Health)

4000 JENNINGS STATION RD
SAINT LOUIS, MO 63121

St. Louis County (314) 676-7880

SHIRLEY SCATCHERD R.N.

Registered Nurse (Community Health)

4000 JENNINGS STATION RD
SAINT LOUIS, MO 63121

St. Louis County (314) 679-7874

Registered Nurse (Community Health)

4000 JENNINGS STATION RD
SAINT LOUIS, MO 63121

St. Louis County (314) 679-7800

MRS. BRENDA LEE MORRISON

Registered Nurse (Community Health)

4000 JENNINGS STATION RD
SAINT LOUIS, MO 63121

St. Louis County (314) 679-7880

MS. SHEILA MARIE BURTON R.N.

Registered Nurse (Community Health)

4000 JENNINGS STATION RD
SAINT LOUIS, MO 63121

St. Louis County (314) 679-7819

MARY KATE O'LINN R.N.

Registered Nurse (Community Health)

4000 JENNINGS STATION RD
SAINT LOUIS, MO 63121

St. Louis County (314) 679-7869

MRS. JESSICA ANN CAMPBELL RD, LD

Dietitian, Registered

4000 JENNINGS STATION RD
SAINT LOUIS, MO 63121

St. Louis County (314) 679-7830

DR. AMIE D BROOKS PHARM.D.

Pharmacist (Pharmacotherapy)

4000 JENNINGS STATION RD
SAINT LOUIS, MO 63121

St. Louis County (314) 679-7848

REBECCA STANN R.N., B.S.N.

Registered Nurse (Community Health)

4000 JENNINGS STATION RD
SAINT LOUIS, MO 63121

St. Louis County (314) 679-7915

MARY KAY NA WOLF RN

Registered Nurse (Community Health)

4000 JENNINGS STATION RD
SAINT LOUIS, MO 63121

St. Louis County (314) 679-7822

Frequently Asked Questions

What is Susan Holmes's NPI number?

The NPI number assigned to this healthcare provider is 1124193842, enumerated as an "individual" on November 21, 2006.

Where is the provider located?

The provider is located at 4000 JENNINGS STATION RD SAINT LOUIS, MO 63121 and the phone number is (314) 679-7873.

What is the provider's specialty?

Registered Nurse with taxonomy code 163WC1500X and a focus in Community Health.

What insurance does Susan Holmes accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Previous: 1124193834

Next: 1124193859

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NPI data updated July 19, 2026 • PECOS data updated July 17, 2026 • Updated weekly from official CMS public data

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