Individual provider Active NPI

Faith Ozetta Holt, APRN

  • Family Nurse Practitioner
  • London, KY
National Provider Identifier
1467833343
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009455 Issued in KY
Practice address
202 W 7TH St Ste 201
London, KY 40741-1763
Phone
(606) 330-0050
Fax
(606) 330-0029
NPI assigned
Jun 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 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 3009455 KY Primary

Addresses

Primary practice location

202 W 7TH St Ste 201
London, KY 40741-1763

Mailing address

485 Memorial Dr
Manchester, KY 40962-9111
Phone (606) 598-0321

Other practice location 1

485 Memorial Dr
Manchester, KY 40962-9111
Phone (606) 598-0321

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
I20150916003250 KY Practitioner - Nurse Practitioner 5395052740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Heart CorporationGroup PAC ID 4981832722, 2 clinicians

Practice addresses (Care Compare)

1380 Hwy 192E
London, KY 40741-3123

485 Memorial Dr
Manchester, KY 40962-9111
Phone (606) 599-0221

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3009455KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Heart Corporation CurrentSince Nov 1, 2022 Accepting new patients

Locations

202 W 7th St
Ste 201
London, KY 40741
Phone (606) 330-0566

1380 Highway 192 E
London, KY 40741
Phone (606) 330-0050

485 Memorial Dr
Manchester, KY 40962
Phone (606) 598-0321

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.

Hospital & facility affiliations 2

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1467833343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 MEMORIAL DR",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409629111",
            "telephone_number": "606-598-0321",
            "fax_number": "606-598-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W 7TH ST STE 201",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411763",
            "telephone_number": "606-330-0050",
            "fax_number": "606-330-0029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "485 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "KY",
            "postal_code": "409629111",
            "country_code": "US",
            "telephone_number": "606-598-0321",
            "fax_number": "606-598-0341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLT",
        "first_name": "FAITH",
        "middle_name": "OZETTA",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.