Individual provider Active NPI

Michelle Holder, ARNP

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1629584255
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9455809 Issued in FL
Practice address
200 NW 7TH Ave
Fort Lauderdale, FL 33311-9026
Phone
(954) 759-6600
Fax
(954) 759-6665
NPI assigned
Dec 19, 2017
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 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 ARNP9455809 FL Primary

Addresses

Primary practice location

200 NW 7TH Ave
Fort Lauderdale, FL 33311-9026

Mailing address

1608 SE 3Rd Ave FL 3
Fort Lauderdale, FL 33316-2564
Phone (954) 759-6600

Other identifiers 1

IdentifierTypeStateIssuer
269318600MedicaidFL

Other names 1

  • Michelle Holder Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20181102000530 FL Practitioner - Nurse Practitioner 7113270448 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9455809FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Feb 3, 2020 Accepting new patients
Florida Department of Health CurrentSince Feb 3, 2020 Accepting new patients
North Broward Hospital District CurrentSince Oct 1, 2023 Accepting new patients
North Broward Hospital District Current Accepting new patients
North Broward Hospital District CurrentSince Oct 1, 2023 Accepting new patients
North Broward Hospital District Past Accepting new patients
North Broward Hospital District Past Accepting new patients

Locations

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

1608 SE 3rd Ave
Fl 3
Ft Lauderdale, FL 33316

200 NW 7th Ave
Ft Lauderdale, FL 33311
Phone (954) 355-5110

1250 Southwinds Dr
Lantana, FL 33462
Phone (561) 547-6800

3736 W Oakland Park Blvd
Lauderdale Lakes, FL 33311
Phone (954) 759-7599

601 W Atlantic Blvd
Pompano Beach, FL 33060
Phone (954) 785-4273

1150 45th St
West Palm Beach, FL 33407
Phone (561) 514-5300

800 Clematis St
West Palm Beach, FL 33401
Phone (561) 837-5560

Networks

  • Freedom Health HMO Network

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1629584255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 SE 3RD AVE FL 3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162564",
            "telephone_number": "954-759-6600",
            "fax_number": "954-759-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NW 7TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333119026",
            "telephone_number": "954-759-6600",
            "fax_number": "954-759-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "MICHELLE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9455809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269318600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HOLDER",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.