NPIMap

Individual provider Active NPI

Kody Keith Holt, FNP-C

  • Family Nurse Practitioner
  • Enterprise, UT
National Provider Identifier
1316533698
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9809369-4408 Issued in UT
Practice address
223 S. 200 E
Enterprise, UT 84725
Phone
(435) 878-2281
NPI assigned
Dec 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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 9809369-4408 UT Primary

Addresses

Primary practice location

223 S. 200 E
Enterprise, UT 84725

Mailing address

PO Box 758
Enterprise, UT 84725-0758

Other practice location 1

571 East Main Street
Enterprise, UT 84725
Phone (435) 878-5711

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kodyholt@hotmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211208003614 UT Practitioner - Nurse Practitioner 1850781774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revere Health PCGroup PAC ID 7517868508, 407 clinicians

Practice addresses (Care Compare)

1055 N 500
Provo, UT 84604-3305
Phone (801) 429-8000

Hospital & facility affiliations

  • St. George Regional Hospital Hospital, St George, UT, CCN 460021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9809369-4408UTMDFamily Nurse Practitioner

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Revere Health PC CurrentSince Dec 1, 2025 Accepting new patients
Main Street Family Medicine PLLC Family Medicine CurrentSince Nov 1, 2021 Accepting new patients
Revere Health PC CurrentSince Dec 1, 2025 Accepting new patients
Saint Francis Medical Center Family Medicine Past Accepting new patients

Locations

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

Networks

  • UT PPO

Interoperability endpoints

  • Direct secure messaging: kody.holt.1@23119.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23119/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kodyholt@cuccu.allscriptsdirect.net

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 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": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1316533698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758",
            "city": "ENTERPRISE",
            "state": "UT",
            "postal_code": "847250758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 S. 200 E",
            "city": "ENTERPRISE",
            "state": "UT",
            "postal_code": "84725",
            "telephone_number": "435-878-2281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "571 East Main Street",
            "address_purpose": "LOCATION",
            "city": "Enterprise",
            "state": "UT",
            "postal_code": "84725",
            "country_code": "US",
            "telephone_number": "435-878-5711",
            "fax_number": "435-878-5712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLT",
        "first_name": "KODY",
        "middle_name": "KEITH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-21",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9809369-4408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kodyholt@hotmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "223 S. 200 E",
            "city": "Enterprise",
            "state": "UT",
            "country_code": "US",
            "postal_code": "84725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Enterprise, UT

Sources for this page

Verify at the official NPI Registry.