Active NPI
Jenny Thomas Holt, NP
- Family Nurse Practitioner
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22906
- Practice address
- 300 20TH Ave N Ste G1
Nashville, TN 37203-2132 - Phone
- (615) 941-8550
- Fax
- (615) 941-8507
- NPI assigned
- Aug 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3010555 | KY | |
| Family Nurse Practitioner | 363LF0000X | 22906 | TN | Primary |
Addresses
Primary practice location
300 20TH Ave N Ste G1
Nashville, TN 37203-2132
Mailing address
3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018
Other practice location 1
713 W Main St
Elkton, KY 42220-9229
Phone (270) 265-5353
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100430770 | Medicaid | KY | |
| Q025754 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3500 Good Samaritan Way
Louisville, KY 40299-6117
Phone (502) 267-7403
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3010555 | KY | MD | Family Nurse Practitioner |
| 22906 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Diagnostic Imaging, PC | Current | Accepting new patients | |
| Fast Pace Kentucky PLLC | Current | Accepting new patients | |
| Brock Medical, LLC | Current | Accepting new patients | |
| Telos Health Systems Ky LLC | Current | Accepting new patients | |
| Advanced Diagnostic Imaging PC | Current | Accepting new patients | |
| Provider Partners Care Management LP | Current | Accepting new patients |
Locations
15100 N US Highway 25 E
Ste 1
Corbin, KY 40701
Phone (606) 261-2054
950 Highpoint Dr
Hopkinsville, KY 42240
Phone (270) 885-1151
1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055
3500 Good Samaritan Way
Louisville, KY 40299
Phone (502) 267-7403
3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018
300 20th Ave N
Ste G1
Nashville, TN 37203
Phone (615) 284-7035
3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146
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.
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- Internal Medicine Physician
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-
- Nurse Practitioner
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- NPI 1023379815
-
- Durable Medical Equipment & Medical Supplies
- Lewisburg, TN
- NPI 1922846559
-
- Rural Health Clinic/Center
- Corbin, KY
- NPI 1669256913
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": "1471478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1669927760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3024 BUSINESS PARK CIR",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370723132",
"telephone_number": "615-239-2018",
"fax_number": "615-851-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 20TH AVE N STE G1",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032132",
"telephone_number": "615-941-8550",
"fax_number": "615-941-8507"
}
],
"practiceLocations": [
{
"address_1": "713 W Main St",
"address_purpose": "LOCATION",
"city": "Elkton",
"state": "KY",
"postal_code": "422209229",
"country_code": "US",
"telephone_number": "270-265-5353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLT",
"first_name": "JENNY",
"middle_name": "THOMAS",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-18",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3010555",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "22906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100430770",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q025754",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.