Individual provider Active NPI

Jenny Thomas Holt, NP

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1669927760
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22906 Issued in TN
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

Updated by the provider on Jul 27, 2023

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 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

IdentifierTypeStateIssuer
7100430770MedicaidKY
Q025754MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161025002073 KY Practitioner - Nurse Practitioner 0749568897 Reassigns benefits to 3 organizations
I20190315002446 TN Practitioner - Nurse Practitioner 0749568897 Reassigns benefits to 1 organization

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
Vitae Health Medical Kentucky, LLCGroup PAC ID 3173952637, 28 clinicians

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

LicenseStateTypeSpecialty
3010555KYMDFamily Nurse Practitioner
22906TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Jul 27, 2023 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Sep 1, 2016 Accepting new patients
Brock Medical, LLC CurrentSince Sep 1, 2016 Accepting new patients
Telos Health Systems Ky LLC CurrentSince Jan 31, 2024 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Jul 27, 2023 Accepting new patients
Provider Partners Care Management LP CurrentSince Feb 20, 2026 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.

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

Verify at the official NPI Registry.