Individual provider Active NPI

Holly Christine Smith, APRN-CNP

  • Family Nurse Practitioner
  • Logan, OH
National Provider Identifier
1073159158
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.025930 Issued in OH
Practice address
601 State Route 664 N
Logan, OH 43138-8541
Phone
(740) 380-8000
NPI assigned
Nov 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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 APRN.CNP.025930 OH Primary

Addresses

Primary practice location

601 State Route 664 N
Logan, OH 43138-8541

Mailing address

313 Marietta St
Bremen, OH 43107-1125
Phone (740) 503-5216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200122001929 OH Practitioner - Nurse Practitioner 5890120711 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio Medical University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hocking Valley Medical Group, Inc.Group PAC ID 0345238622, 21 clinicians

Practice addresses (Care Compare)

819 State Route 664 N
Logan, OH 43138-8540
Phone (740) 380-8140

Hospital & facility affiliations

  • Hocking Valley Community Hospital Hospital, Logan, OH, CCN 361330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.025930OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hocking Valley Community Hospital CurrentSince Jun 11, 2025 Accepting new patients
Ohio Emergency Professionals Inc CurrentSince Jan 1, 2020 Accepting new patients
Osup Community Outreach LLC CurrentSince Jan 1, 2023 Accepting new patients
Hocking Valley Medical Group Transportation CurrentSince Jun 11, 2025 Accepting new patients
Hocking Valley Medical Group, Inc. CurrentSince Jun 11, 2025 Accepting new patients
Hocking Valley Community Hospital CurrentSince Jun 11, 2025 Accepting new patients

Locations

600 N Pickaway St
Ste 5
Circleville, OH 43113
Phone (740) 474-2782

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

601 State Route 664 N
Logan, OH 43138
Phone (740) 380-8000

819 State Route 664 N
Logan, OH 43138
Phone (740) 380-8140

601 State Route 664 N
Ste 966
Logan, OH 43138

819 State Route 664 N
Ste A
Logan, OH 43138
Phone (740) 385-0202

6100 N Hamilton Rd
Westerville, OH 43081
Phone (614) 814-8100

Interoperability endpoints

  • Direct secure messaging: hsmith842198@direct.osumc.edu

Organizations & group practices 6

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1574467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1073159158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 MARIETTA ST",
            "city": "BREMEN",
            "state": "OH",
            "postal_code": "431071125",
            "telephone_number": "740-503-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 STATE ROUTE 664 N",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431388541",
            "telephone_number": "740-380-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HOLLY",
        "middle_name": "CHRISTINE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-23",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.025930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, OH

Sources for this page

Verify at the official NPI Registry.