Individual provider Active NPI

Kelly Ryan Holbert, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Port Richey, FL
National Provider Identifier
1710601828
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11020555 Issued in FL
Practice address
6641 Madison St Ste 3
New Port Richey, FL 34652-1966
Phone
(727) 203-4417
Fax
(727) 203-4427
NPI assigned
Oct 3, 2022
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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 APRN11020555 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11020555 FL Primary

Addresses

Primary practice location

6641 Madison St Ste 3
New Port Richey, FL 34652-1966

Mailing address

19907 Wyndmill Cir
Odessa, FL 33556-1731
Phone (813) 728-4414

Other practice location 1

22829 State Road 54
Land O Lakes, FL 34639-5227
Phone (813) 915-5459

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
I20221116000857 FL Practitioner - Nurse Practitioner 4284002601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

33670 US Hwy 19 N
Palm Harbor, FL 34684-2640
Phone (727) 221-5794

4660 13TH St
Saint Cloud, FL 34769-6765
Phone (407) 200-2300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/Sunbelt, Inc Family CurrentSince Oct 12, 2023 Accepting new patients
Adventist Health System Sunbelt, Inc. Family Current Accepting new patients
Florida Hospital Physician Group Inc Family CurrentSince May 8, 2023 Accepting new patients
Adventist Health System/Sunbelt Inc. Family CurrentSince Sep 19, 2024 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family CurrentSince Sep 19, 2024 Accepting new patients
Adventist Health System Sunbelt Inc Family Current Accepting new patients
Adventist Health System/Sunbelt, Inc. Family CurrentSince Oct 12, 2023 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

22829 State Road 54
Land O Lakes, FL 34639
Phone (813) 949-0464

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Interoperability endpoints

  • Direct secure messaging: kholbert1146449@adventhealth.direct-ci.com

Organizations & group practices 9

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": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1710601828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19907 WYNDMILL CIR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335561731",
            "telephone_number": "813-728-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6641 MADISON ST STE 3",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346521966",
            "telephone_number": "727-203-4417",
            "fax_number": "727-203-4427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22829 State Road 54",
            "address_purpose": "LOCATION",
            "city": "Land O Lakes",
            "state": "FL",
            "postal_code": "346395227",
            "country_code": "US",
            "telephone_number": "813-915-5459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLBERT",
        "first_name": "KELLY",
        "middle_name": "RYAN",
        "name_prefix": "Ms.",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11020555",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11020555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.