Individual provider Active NPI

Rita M. Holden, CRNP

  • Adult Health Nurse Practitioner
  • The Villages, FL
National Provider Identifier
1720175474
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11010713 Issued in FL
Practice address
910 Old Camp Rd Ste 144
The Villages, FL 32162-5609
Phone
(352) 753-2224
Fax
(352) 753-0833
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP007420 PA
Adult Health Nurse Practitioner 363LA2200X APRN11010713 FL Primary

Addresses

Primary practice location

910 Old Camp Rd Ste 144
The Villages, FL 32162-5609

Mailing address

910 Old Camp Rd Ste 144
The Villages, FL 32162-5609
Phone (352) 753-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 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
I20051114000486 PA Practitioner - Nurse Practitioner 7810916459 Reassigns benefits to 1 organization
I20220507000000 FL Practitioner - Nurse Practitioner 7810916459 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11010713FLMDAdult Health Nurse Practitioner
SP007420PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Dec 4, 2010 Accepting new patients
VRL Medical Practice PLLC CurrentSince Dec 1, 2020 Accepting new patients
Sinai Internal Medicine Specialists CurrentSince Jun 1, 2022 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Dec 4, 2010 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Bethsaida Healthcare System Inc CurrentSince Jun 1, 2022 Accepting new patients
Doylestown Buxmont Rehab, P.C. Past Accepting new patients

Locations

910 Old Camp Rd
Ste 144
The Villages, FL 32162
Phone (352) 753-2224

16529 SE 86th Belle Meade Cir
The Villages, FL 32162
Phone (325) 825-8200

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

300 Welsh Rd
Ste 100
Horsham, PA 19044
Phone (267) 209-3410

1425 Horsham Rd
North Wales, PA 19454
Phone (215) 284-5398

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJJFAD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1720175474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 OLD CAMP RD STE 144",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625609",
            "telephone_number": "352-753-2224",
            "fax_number": "352-753-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 OLD CAMP RD STE 144",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625609",
            "telephone_number": "352-753-2224",
            "fax_number": "352-753-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "RITA",
        "middle_name": "M.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP007420",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11010713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.