Provider Demographics
NPI:1912920612
Name:DOWNS-HOLMES, CATHERINE A (CNP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:A
Last Name:DOWNS-HOLMES
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24701 EUCLID AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1714
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-8510
Practice Address - Fax:216-844-5449
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN271010363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00372944OtherRAILROAD MEDICARE - UHMG
221299OtherUNISON
OH2365855Medicaid
OHP00180440OtherRAILROAD MEDICARE - UHPL
000000503622OtherANTHEM
7632646OtherAETNA
OHDONP11702Medicare ID - Type UnspecifiedUHPL
OHP00372944Medicare PIN
OHDONP11703Medicare ID - Type UnspecifiedUHMG
OHP00180440OtherRAILROAD MEDICARE - UHPL
221299OtherUNISON