Individual provider Active NPI

Amanda Maria Holt, AUTONOMOUS APRN, FNP

  • Family Nurse Practitioner
  • Ponte Vedra, FL
National Provider Identifier
1194001545
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11033200 Issued in FL
Practice address
10870 US Highway 1 N Unit 105
Ponte Vedra, FL 32081-7804
Phone
(904) 815-8353
NPI assigned
Oct 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11033200 FL Primary
Family Nurse Practitioner 363LF0000X 5005343 NC

Addresses

Primary practice location

10870 US Highway 1 N Unit 105
Ponte Vedra, FL 32081-7804

Mailing address

155 Bartram Market Dr Ste 135-185
Saint Johns, FL 32259-4581
Phone (904) 815-8353

Other practice location 1

10512 Park Rd
Suite 210
Charlotte, NC 28210-8475
Phone (704) 790-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 30, 2024 through Aug 30, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11033200FLMDFamily Nurse Practitioner
5005343NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Hope Weight Loss and Healthcare, LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

145 Hilden Rd
Ste 123
Ponte Vedra, FL 32081
Phone (904) 342-8970

10870 US Highway 1 N
Unit 105
Ponte Vedra Beach, FL 32081
Phone (201) 248-9609

155 Bartram Market Dr
Ste 135185
Saint Johns, FL 32259

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1194001545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BARTRAM MARKET DR STE 135-185",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594581",
            "telephone_number": "904-815-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10870 US HIGHWAY 1 N UNIT 105",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320817804",
            "telephone_number": "904-815-8353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10512 Park Rd",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108475",
            "country_code": "US",
            "telephone_number": "704-790-2450",
            "fax_number": "704-790-2451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLT",
        "first_name": "AMANDA",
        "middle_name": "MARIA",
        "credential": "AUTONOMOUS APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11033200",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005343",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra, FL

Sources for this page

Verify at the official NPI Registry.