Individual provider Active NPI

Holly Marie Griffin, APRN

  • Family Nurse Practitioner
  • Greenville, KY
National Provider Identifier
1003352626
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010934 Issued in KY
Practice address
316 N Main St
Greenville, KY 42345-1637
Phone
(859) 759-1111
Fax
(859) 759-1113
NPI assigned
Jan 7, 2017
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3010934 KY Primary

Addresses

Primary practice location

316 N Main St
Greenville, KY 42345-1637

Mailing address

243 Ayer Pkwy E
Madisonville, KY 42431-8999
Phone (270) 584-9050

Other names 1

  • Holly Marie Lee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170124003156 KY Practitioner - Nurse Practitioner 0143502286 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3010934KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC CurrentSince Dec 14, 2016 Accepting new patients
Fast Pace Kentucky PLLC Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Dec 14, 2016 Accepting new patients
Muhlenberg Weight Loss LLC Family CurrentSince Jul 10, 2026 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059

15100 N US Highway 25 E
Ste 1
Corbin, KY 40701
Phone (606) 261-2054

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

110 W Main Cross St
Greenville, KY 42345
Phone (270) 216-2212

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

1350 N Main St
Madisonville, KY 42431
Phone (270) 245-2554

919 N Main St
Madisonville, KY 42431
Phone (270) 228-0592

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1003352626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 AYER PKWY E",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424318999",
            "telephone_number": "270-584-9050",
            "fax_number": "270-584-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N MAIN ST",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423451637",
            "telephone_number": "859-759-1111",
            "fax_number": "859-759-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "HOLLY",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-07",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "LEE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, KY

Sources for this page

Verify at the official NPI Registry.