ELIZABETH A HOLMES AGNP-BC
NPI 1669200812
Nurse Practitioner in Portland, OR

Q: What is Elizabeth Holmes's NPI number?

The NPI number for Elizabeth Holmes is 1669200812. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Q: What is Elizabeth Holmes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Holmes was last updated on July 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 22, 2024

314 NE 19TH AVE, PORTLAND, OR 97232(415) 999-2792 Get Directions Write a Review

NPPES record last updated: July 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Elizabeth A Holmes Agnp-bc NPPES

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

ELIZABETH A HOLMES AGNP-BC (NPI 1669200812) is an individual nurse practitioner in Portland, Oregon, licensed in Oregon (10018561) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1669200812

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameELIZABETH A HOLMESCredential: AGNP-BC

Location Address314 NE 19TH AVEPortland, OR 97232-2829

Mailing Address2623 9th AveOakland, CA 94606-2127 · (415) 999-2792

Phone(415) 999-2792

Sole ProprietorNo

Enumeration DateJuly 22, 2024

Last NPPES UpdateJuly 27, 2024

NPPES CertifiedJuly 27, 2024

✔ NPI 1669200812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in OR · 10018561✔ Licensed in CA · NP95028849

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 95192567 (CA), 10018561 (OR)

314 NE 19TH AVE, Portland, OR 97232

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