Individual provider Active NPI

Rebecca Holt, APRN

  • Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1619696994
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26506 Issued in SC
Practice address
103 Wade Hampton Blvd
Greenville, SC 29609-5734
Phone
(865) 867-1100
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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 26506 SC Primary

Addresses

Primary practice location

103 Wade Hampton Blvd
Greenville, SC 29609-5734

Mailing address

103 Wade Hampton Blvd
Greenville, SC 29609-5734
Phone (865) 867-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20230530002955 SC Practitioner - Nurse Practitioner 2163889577 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of South Carolina LLCGroup PAC ID 8527049865, 18 clinicians

Practice addresses (Care Compare)

274 Commonwealth Dr
Suite a
Greenville, SC 29615-4872
Phone (864) 686-5511

28 Medical Ridge Dr
Greenville, SC 29605-4267
Phone (864) 271-7440

317 Tanner Rd
Greenville, SC 29607-5923
Phone (864) 627-8911

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Hospital, Inc. Current Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince May 21, 2023 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince May 21, 2023 Accepting new patients
Epiphany Dermatology of South Carolina LLC CurrentSince Aug 1, 2023 Accepting new patients
St Francis Hospital Inc CurrentSince May 21, 2023 Accepting new patients
St. Francis Hospital Inc CurrentSince May 21, 2023 Accepting new patients

Locations

274 Commonwealth Dr
Ste A
Greenville, SC 29615
Phone (864) 686-5511

28 Medical Ridge Dr
Greenville, SC 29605
Phone (864) 271-7440

317 Tanner Rd
Greenville, SC 29607
Phone (864) 627-8911

104 Innovation Dr
Greenville, SC 29607
Phone (864) 255-1000

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1619696994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WADE HAMPTON BLVD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296095734",
            "telephone_number": "865-867-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WADE HAMPTON BLVD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296095734",
            "telephone_number": "865-867-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "REBECCA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "26506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.