IndividualActive
Matthew Holmes, PA-C
NPI 1104052398 · Physician Assistant · Tacoma, WA
Provider details
- NPI number
- 1104052398
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA61467978 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-8775
Phone: (360) 915-3929
Street-level locationGet directions
Mailing address
700 Lilly Rd Ne
Olympia, WA 98506-5196
Additional practice locations (2)
- 1350 Marvin Rd Ne Ste DLacey, WA 98516-3877Phone: (888) 227-3312Fax: (360) 413-6509
- 700 Lilly Rd NeOlympia, WA 98506-5115Phone: (360) 923-7000Fax: (360) 923-7089
Registry dates
- Enumerated
- 2009-06-02
- Last updated
- 2026-02-09
- Certified
- 2026-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.