| NPI | 1104052398 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2009-06-02 |
| Last Updated | 2026-02-09 |
| Mailing Address | 700 Lilly Rd Ne Olympia, WA 98506-5196 United States Phone: (800) 565-1393 | Fax: (360) 923-7089 📍 View Map |
| Primary Practice Address | Madigan Army Medical Center 9040 Jackson Ave Tacoma, WA 98431-8775 United States Phone: (360) 915-3929 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | — | 1104052398 | Tricare |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363A00000X – Physician Assistant | WA | PA61467978 |
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About NPI 1104052398
Matthew Christian Holmes PA-C is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104052398. The primary specialty listed is Physician Assistant. The provider is located in Tacoma, WA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-06-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104052398?
NPI 1104052398 belongs to Matthew Christian Holmes PA-C, a Physician Assistant in Tacoma, WA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104052398 active?
The current status of NPI 1104052398 in the NPPES registry is Active. The record was last updated on 2026-02-09.
What specialty is NPI 1104052398?
NPI 1104052398 is classified under the taxonomy Physician Assistant. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104052398?
You can verify NPI 1104052398 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104052398?
The primary practice address on file for NPI 1104052398 is Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-8775. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104052398 issued?
NPI 1104052398 was first issued (enumerated) on 2009-06-02. The NPPES record was last updated on 2026-02-09.
Practice Location Map
Matthew Christian Holmes is located at Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Matthew Christian Holmes. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104052398. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Physician Assistant | PA61467978 | WA |