Active NPI
Jayma Lea Anne Holt, APRN, CNM
- Advanced Practice Midwife
- St Petersburg, FL
National Provider Identifier
1336753391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APRN11008558
- Practice address
- 1600 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-4204 - Phone
- (813) 286-0033
- Fax
- (813) 282-1806
- NPI assigned
- Sep 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11008558 | FL | |
| Advanced Practice Midwife | 367A00000X | 11008558 | FL | |
| Advanced Practice Midwife | 367A00000X | APRN11008558 | FL | Primary |
Addresses
Primary practice location
1600 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-4204
Mailing address
PO Box 25317
Tampa, FL 33622-5317
Phone (813) 286-0033
Other practice location 1
106 Myrtle Ridge Rd
Lutz, FL 33549
Phone (813) 949-1183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11008558 | FL | MD | Advanced Practice Midwife |
| APRN11008558 | FL | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1336753391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25317",
"city": "TAMPA",
"state": "FL",
"postal_code": "336225317",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 DR MARTIN LUTHER KING JR ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337044204",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806"
}
],
"practiceLocations": [
{
"address_1": "106 Myrtle Ridge Rd",
"address_purpose": "LOCATION",
"city": "Lutz",
"state": "FL",
"postal_code": "33549",
"country_code": "US",
"telephone_number": "813-949-1183",
"fax_number": "813-949-1162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLT",
"first_name": "JAYMA",
"middle_name": "LEA ANNE",
"name_prefix": "Ms.",
"credential": "APRN, CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-06",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11008558",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "11008558",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "APRN11008558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.