Michelle L Holmes
Nurse Practitioner (Family)

Address: 1502 London Rd Ste 102, Essentia Health Lakewalk Clinic, Duluth, MN 55812-1787
Phone: 2185760100

Michelle L Holmes (NPI# 1083814958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1083814958
Entity Type Individual
Full Name Michelle L Holmes
Credential RN, CNP
Gender Female
Practice Address 1502 London Rd Ste 102
Essentia Health Lakewalk Clinic
Duluth
MN 55812-1787
Practice Telephone 2185760100
Practice Fax Number 2185760126
Mailing Address 1502 London Rd Ste 102
Essentia Health Lakewalk Clinic
Duluth
MN 55812-1787
Mailing Telephone 2185760100
Mailing Fax Number 2185760126
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-07-19
Last Update Date 2011-12-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers R131623-0 MN

Other Provider Identifier

State Identifier Issuer Type Code
WI 1083814958 MEDICAID
MN 1083814958 MEDICAID
MI 1083814958 MEDICAID

Providers with the same name

NPI Name Taxonomy Address Enumeration
1336762244 Michelle Anne Holmes Optometrist 2727 3rd St Apt 209, Santa Monica, CA 90405-4103 2020-05-26
1306954458 Michelle S Holmes Optometrist 1521 Gunter Ave, Guntersville, AL 35976-1847 2006-08-28
1215040720 Michelle R Holmes Dentist 117h Village Rd Ne, Leland, NC 28451-7413 2006-08-17
1508815051 Michelle A Holmes Speech-Language Pathologist 111 Tacoma Ct, Bowling Green, KY 42101-0780 2006-05-10
1588145585 Michelle Lynn Holmes Registered Nurse 602 W Semands St, Conroe, TX 77301-1867 2018-08-27
1174770713 Michelle M Holmes Nurse Practitioner 1225 E Weisgarber Rd, Suite 200, Knoxville, TN 37909-2604 2008-08-26
1083741649 Michelle D Holmes Internal Medicine Channing Laboratory, 181 Longwood Ave., Boston, MA 02115 2007-02-28
1720145626 Michelle Holmes Family Medicine 171 Sand Creek Rd, Suite A, Brentwood, CA 94513-2033 2007-01-02
1811069651 Michelle Suzanne Holmes Emergency Medicine 900 Kiely Blvd, Santa Clara, CA 95051-5329 2006-11-15

Physician Overview

NPI 1083814958
PAC ID by PECOS 7214021294
Professional Enrollment ID I20070921000051
Full Name Michelle L Holmes
Organization Legal Name THE DULUTH CLINIC LTD
Phone Number 2187868364
Gender F
Graduation Year 2007
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 2567374283
Number of Group Practice Members 802
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
240019 ESSENTIA HEALTH DULUTH
240002 ESSENTIA HEALTH ST MARY'S MEDICAL CENTER

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265033625 Ashley Thomas Nurse Practitioner 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 2020-11-03
1659978930 Sarah Jean Mudge Nurse Practitioner 350 Harbor Dr, Duluth, MN 55802-2600 2020-10-08
1174141873 Akiysha Collins Caine Nurse Practitioner 2200 Satellite Blvd Apt 117, Duluth, GA 30097-4002 2020-07-09
1437608684 Salimah Chagani Nurse Practitioner 4855 River Green Pkwy #700, Duluth, GA 30096 2016-09-29
1316495773 Lifeline Primary Care Nurse Practitioner 4855 River Green Pkwy Ste 700, Duluth, GA 30096-8337 2016-09-14
1619329661 Stephanie Bridges Nurse Practitioner 3575 Koger Blvd, Ste 116, Duluth, GA 30096-7559 2016-07-01
1215336664 Rachel Marie Swor Nurse Practitioner 1000 E 1st St Ste 204, Duluth, MN 55805-2297 2014-08-21
1669811410 Laura Elizabeth Lashley Nurse Practitioner 3505 Duluth Park Ln Bldg 4, Duluth, GA 30096-3201 2013-06-14
1851638423 Candace Jacobs Ginsberg Nurse Practitioner 130 N 60th Ave E, Duluth, MN 55804-2549 2013-01-15
1710275128 Megan Jennie Baertsch Nurse Practitioner 1420 London Rd Ste 100, Duluth, MN 55805-2437 2011-07-19
Find all providers in DULUTH

Office Location

Street Address 1502 LONDON RD STE 102
ESSENTIA HEALTH LAKEWALK CLINIC
City DULUTH
State MN
Zip Code 55812-1787

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568487098 Tami Joy Matuszak Nurse Practitioner 1502 London Rd Ste 102, Duluth, MN 55812-1787 2006-07-13
1700439759 Isaac J Hunt Clinical Neuropsychologist 1502 London Rd Ste 102, Duluth, MN 55812-1787 2019-07-18
1669942678 Hannah Bjerkness Physician Assistant 1502 London Rd Ste 102, Duluth, MN 55812-1787 2018-12-03
1891228094 Jay Joseph Allen Family Medicine 1502 London Rd Ste 102, Duluth, MN 55812-1787 2017-04-05
1770904633 Anna Dehler Nurse Practitioner 1502 London Rd Ste 102, Duluth, MN 55812-1787 2013-12-19
1275828469 Amy Marie Westrick Nurse Practitioner 1502 London Rd Ste 102, Duluth, MN 55812-1787 2011-06-15
1679897276 Kristi Mae Hanson Occupational Therapist 1502 London Rd Ste 102, Essentia Health Lakewalk Clinic, Duluth, MN 55812-1787 2010-03-25
1760670053 Jill C Isenberg Clinical Neuropsychologist 1502 London Rd Ste 102, Duluth, MN 55812-1787 2007-10-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942743950 Thomas Anthony Olson Specialist/Technologist 1049 Ordean Court, 170 Sports & Health Center, Duluth, MN 55812 2016-11-22
1922457183 Zen Eye Care Pllc Optometrist 2106 London Road, Duluth, MN 55812 2016-06-08
1295134088 Charla Buxbaum Specialist/Technologist 1216 Ordean Ct. Sphc 170, University of Minnesota Duluth, Duluth, MN 55812 2014-08-18
1346473998 Patricia A Trachte Nurse Practitioner 107 Ksc, Umd Quick Care, Duluth, MN 55812 2009-08-31
1003088543 Arrowhead House Inc Community Based Residential Treatment Facility, Mental Illness 16 South 18th Avenue East, Duluth, MN 55812 2008-03-25
1073689295 Nicolle Marie Nicklas Nurse Anesthetist, Certified Registered 219 Garden St., Duluth, MN 55812 2006-11-28
1346328762 Timothy Patrick Stratton Pharmacist 386a Kirby Plaza, 1208 Kirby Drive, Duluth, MN 55812 2006-11-02
1316960701 Questar Duluth, Inc Specialist 1527 London Road, Duluth, MN 55812 2006-07-26
1063401297 Clinton T Moen Specialist 2711 E 5th St, Duluth, MN 55812 2005-10-20
1124016563 Christine Aas-larson Nurse Practitioner 1502 London Road, Suite 102, Duluth, MN 55812 2005-10-10
Find all providers in zip 55812

Competitor

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City DULUTH
Zip Code 55812

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Dataset Information

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.