Individual provider Active NPI

Christina Holt, FNP

  • Family Nurse Practitioner
  • Pulaski, TN
National Provider Identifier
1639940786
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
35620 Issued in TN
Practice address
1119 E College St Ste 1
Pulaski, TN 38478-4564
Phone
(931) 207-8630
Fax
(931) 207-8629
NPI assigned
Jan 9, 2024
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 35620 TN Primary
Registered Nurse 163W00000X 150574 TN

Addresses

Primary practice location

1119 E College St Ste 1
Pulaski, TN 38478-4564

Mailing address

1119 E College St Ste 1
Pulaski, TN 38478-4564
Phone (931) 207-8630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320002932 TN Practitioner - Family Practice 3577900935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Internal Medicine of Giles County, PLLCGroup PAC ID 1052489200, 2 clinicians

Practice addresses (Care Compare)

1119 E College St
Suite 1
Pulaski, TN 38478-4564
Phone (931) 207-8630

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
150574TNMDRegistered Nurse
35620TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Internal Medicine of Giles County CurrentSince Jan 14, 2024 Accepting new patients
Premier Internal Medicine of Giles County, PLLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

1119 E College St
Ste 1
Pulaski, TN 38478
Phone (931) 207-8630

1255 E College St
Ste 400
Pulaski, TN 38478
Phone (931) 766-0077

600 S Cannon Blvd
Shelbyville, TN 37160
Phone (317) 356-6309

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1639940786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 E COLLEGE ST STE 1",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784564",
            "telephone_number": "931-207-8630",
            "fax_number": "931-207-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 E COLLEGE ST STE 1",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784564",
            "telephone_number": "931-207-8630",
            "fax_number": "931-207-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "CHRISTINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "35620",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "150574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

Verify at the official NPI Registry.