Individual provider Active NPI

Dakota Ty Holt, ARNP

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1518444686
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9393002 Issued in FL
Practice address
5860 Ranch Lake Blvd Ste 200
Bradenton, FL 34202-3719
Phone
(941) 388-8997
Fax
(941) 306-5876
NPI assigned
Jul 23, 2018
Last updated
Jan 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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 ARNP9393002 FL Primary

Addresses

Primary practice location

5860 Ranch Lake Blvd Ste 200
Bradenton, FL 34202-3719

Mailing address

5860 Ranch Lake Blvd Ste 200
Bradenton, FL 34202-3719
Phone (941) 388-8997

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9393002FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1518444686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 RANCH LAKE BLVD STE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023719",
            "telephone_number": "941-388-8997",
            "fax_number": "941-306-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 RANCH LAKE BLVD STE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023719",
            "telephone_number": "941-388-8997",
            "fax_number": "941-306-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "DAKOTA",
        "middle_name": "TY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-23",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9393002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.