Individual provider Active NPI

Katrina F Holder, FNP/ PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rogersville, TN
National Provider Identifier
1134601321
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
24255 Issued in TN
Practice address
101 Lena Dr
Rogersville, TN 37857-2951
Phone
(423) 272-9239
Fax
(423) 272-1803
NPI assigned
Sep 4, 2018
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 24255 TN Primary
Family Nurse Practitioner 363LF0000X 24255 TN

Addresses

Primary practice location

101 Lena Dr
Rogersville, TN 37857-2951

Mailing address

1167 Spratlin Park Dr
Gray, TN 37615-6205
Phone (423) 467-3600

Other practice location 1

555 Justis Dr
Greeneville, TN 37745-4288
Phone (423) 783-7965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20181023001722 TN Practitioner - Nurse Practitioner 4284987199 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians
Frontier HealthGroup PAC ID 2860302320, 70 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

101 Lena Dr
Rogersville, TN 37857-2951
Phone (423) 467-3600

109 W Watauga Ave
Johnson City, TN 37604-5621
Phone (423) 232-2600

1167 Spratlin Park Dr
Gray, TN 37615-6205
Phone (423) 467-3600

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
24255TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Health CurrentSince Mar 3, 2025 Accepting new patients
Summit Medical Group, PLLC CurrentSince Sep 4, 2018 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 29, 2019 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 29, 2019 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Summit Medical Group, PLLC CurrentSince Sep 4, 2018 Accepting new patients
Frontier Health CurrentSince Mar 3, 2025 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

3430 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 820-0033

555 Justis Dr
Greeneville, TN 37745
Phone (423) 254-6460

1167 Spratlin Park Dr
Johnson City, TN 37615
Phone (423) 232-2670

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

2280 S Shady St
Mountain City, TN 37683
Phone (423) 501-2165

101 Lena Dr
Rogersville, TN 37857
Phone (423) 272-9239

Organizations & group practices 8

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": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1134601321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 SPRATLIN PARK DR",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376156205",
            "telephone_number": "423-467-3600",
            "fax_number": "423-467-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LENA DR",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378572951",
            "telephone_number": "423-272-9239",
            "fax_number": "423-272-1803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Justis Dr",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377454288",
            "country_code": "US",
            "telephone_number": "423-783-7965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "KATRINA",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "FNP/ PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "24255",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogersville, TN

Sources for this page

Verify at the official NPI Registry.