Provider Demographics
NPI:1073811311
Name:VOCI-HOLMES, CATHERINE MEAD (NP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MEAD
Last Name:VOCI-HOLMES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 19305
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28219-9305
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10620 PARK RD
Practice Address - Street 2:STE 202
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-8472
Practice Address - Country:US
Practice Address - Phone:704-667-0920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-10
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5005003363LF0000X, 363L00000X
NC173649363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1073811311Medicaid
NC5005003OtherNORTH CAROLINA BOARD OF NURSING
SC17785OtherSOUTH CAROLINA NURSE PRACTITIONER LICENSE
NC7005724Medicaid
NC5005003OtherNORTH CAROLINA BOARD OF NURSING
NC1073811311Medicaid
NCNC4119EMedicare PIN
NC7005724Medicaid
NCNC4119IMedicare PIN
NCNC4119AMedicare PIN
NCNC4119HMedicare PIN