Stacie G Holmes , PROSTHESIS TRAINER

Physician • Altamonte Springs, FL

Active NPI 1578117867 Individual Practitioner Female Practitioner

Practice location in NPPES

801 W State Road 436 Ste 2013
Altamonte Springs, FL 327143053

Call 4078443205 Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

NPI assigned on July 25, 2019; this date does not establish years in practice.
No Medicare Part B / Part D records for this NPI in the CMS files shown here. CMS covers only Medicare fee-for-service / Part D claims and omits records with fewer than 11 beneficiaries, so this does not show whether the provider accepts Medicare or prescribes.

Practice Location & Contact Primary Location

Practice Address

801 W State Road 436 Ste 2013

Altamonte Springs, FL 327143053

Telephone 4078443205

Fax 4079179688

Before You Book

Paying without insurance? Prepare a cost-estimate request

Ask about interpreters and office accessibility

Organization at the Same NPPES Address or Phone

G Luxe Llc Facility NPI 1629688866

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-07-01

Prosthetic/Orthotic Supplier Primary Specialty

NUCC Taxonomy Code: 335E00000X

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events

📍

Updated Practice Location July 01, 2020

Registered at 801 W STATE ROAD 436 STE 2013, ALTAMONTE SPRINGS, FL 327143053 (Tel: 4078443205)

👤

Provider Name / Credentials Updated December 19, 2019

Recorded as STACIE HOLMES, PROSTHESIS TRAINER

✅

NPI Profile Active July 25, 2019

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) July 25, 2019

Registered at 30 W GRANT ST STE 128, ORLANDO, FL 328063982 (Tel: 3217107006)

📍

Business Mailing Address (Initial Record) July 25, 2019

Registered at 818 RENAISSANCE POINTE, ALTAMONTE SPRINGS, FL 327143537 (Tel: 4078443205)

👤

Provider Name / Credentials (Initial Record) July 25, 2019

Recorded as STACIE HOLMES

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2019

Prosthetic/Orthotic Supplier

🟢

Initial NPI Registration & Enumeration July 25, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1578117867

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 25, 2019

Last Update: July 01, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

818 Renaissance Pointe

Altamonte Springs, FL 327143537

Phone: 4078443205

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.