JENNIFER RACHELLE HOLMAN RD/LD-CDE
NPI 1417069782
Dietitian, Registered in Sallisaw, OK

Q: What is Jennifer Holman's NPI number?

The NPI number for Jennifer Holman is 1417069782. It was assigned to this individual provider in the NPPES registry on August 31, 2006. The provider is also known as Jennifer Rachelle Bailey-Holman.

Q: What is Jennifer Holman's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Holman was last updated on August 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 August 31, 2006Accepts Medicare Assignment

408 S CHERRY ST, SALLISAW, OK 74955(918) 774-5074 Get Directions Write a Review

NPPES record last updated: August 23, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Jennifer Rachelle Holman Rd/ld-cde NPPES

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

JENNIFER RACHELLE HOLMAN RD/LD-CDE (NPI 1417069782) is an individual dietitian, registered in Sallisaw, Oklahoma, licensed in Oklahoma (LD1057) and active in the NPI registry since August 2006. She is affiliated with Cherokee Nation W W Hastings Indian Hospital and is a graduate of Other (1999).

NPPES Registry Identity

NPI1417069782

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameJENNIFER RACHELLE HOLMANCredential: RD/LD-CDE

Location Address408 S CHERRY STSallisaw, OK 74955-6602

Mailing Address408 S Cherry StSallisaw, OK 74955-6602 · (918) 774-5074

Phone(918) 774-5074

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateAugust 31, 2006

Last NPPES UpdateAugust 23, 2011

✔ NPI 1417069782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in OK · LD1057

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

408 S CHERRY ST, Sallisaw, OK 74955

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Other Names 1

Other Name (5)Jennifer Rachelle Bailey-holman

Other Identifiers 4

Medicaid200057610AOK

Other8E279BOK · Part B

Other200057610BOK · Ohca Ddsd Waiver

Medicare UPINP58904

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Rachelle Holman Rd/ld-cde is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719890219

PECOS Enrollment IDI20031111000193

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Holman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cherokee Nation

4.2 mi

Multi-Specialty

301 S J T STITES ST
Sallisaw, OK 74955

Reassigned Medicare billing, Texas enrollment
1,047 clinicians in this Medicare group

NPI 1780692723 (918) 775-9150

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number370171

Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74955 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $53.00 – $162.61

Typical copayment $0.00 (range $13.25 – $40.65)

Most-billed visit code NA

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Holman's NPI number?

The NPI number for Jennifer Holman is 1417069782. It was assigned to this individual provider in the NPPES registry on August 31, 2006. The provider is also known as Jennifer Rachelle Bailey-Holman.

Where is Jennifer Holman located?

Jennifer Holman practices at 408 S Cherry St, Sallisaw, OK 74955. The listed phone number is (918) 774-5074.

What is Jennifer Holman's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Jennifer Holman enrolled in Medicare?

Yes. Jennifer Holman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jennifer Holman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Holman reassigns Medicare benefits to Cherokee Nation (Sallisaw, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Holman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jennifer Holman affiliated with any hospitals?

According to CMS data, Jennifer Holman is affiliated with Cherokee Nation W W Hastings Indian Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Holman was last updated on August 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.