Individual provider Active NPI

Paul Kelly Holt, ARNP

  • Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1316020563
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2980P Issued in KY
Practice address
2603 Kentucky Avenue
Suite 303
Paducah, KY 42003
Phone
(270) 443-2900
Fax
(270) 443-7122
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2980P KY Primary

Addresses

Primary practice location

2603 Kentucky Avenue
Suite 303
Paducah, KY 42003

Mailing address

PO Box 7626
Paducah, KY 42002-7626
Phone (270) 443-2900

Other identifiers 2

IdentifierTypeStateIssuer
78014891MedicaidKY
354856OtherKYANTHEM INDIVIDUAL

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
I20050228000637 KY Practitioner - Nurse Practitioner 3476506635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr. Butler and Associates, PLLCGroup PAC ID 6204803000, 2 clinicians

Practice addresses (Care Compare)

2603 Kentucky Ave
Suite 303
Paducah, KY 42003-3829
Phone (270) 443-2900

Hospital & facility affiliations

  • Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
  • Murray-Calloway County Hospital Hospital, Murray, KY, CCN 180027
  • Jackson Purchase Medical Center Hospital, Mayfield, KY, CCN 180116
  • Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Butler & Associates, PLLC Nurse Practitioner CurrentSince Oct 4, 2009 Accepting new patients
Dr. Butler & Associates, PLLC PastSince Oct 4, 2009 Accepting new patients

Locations

2603 Kentucky Ave
Ste 303
Paducah, KY 42003
Phone (270) 443-2900

134 Phillips Dr
Wickliffe, KY 42087
Phone (270) 335-3335

Organizations & group practices 2

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 5

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1316020563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7626",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420027626",
            "telephone_number": "270-443-2900",
            "fax_number": "270-443-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 KENTUCKY AVENUE",
            "address_2": "SUITE 303",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42003",
            "telephone_number": "270-443-2900",
            "fax_number": "270-443-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "PAUL",
        "middle_name": "KELLY",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "2980P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78014891",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INDIVIDUAL",
            "identifier": "354856",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.