Individual provider Active NPI

Holly Petrino, NP

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1790137248
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21257 Issued in TN
Practice address
222 22ND Ave N
Nashville, TN 37203-1852
Phone
(615) 329-5144
NPI assigned
Jul 8, 2016
Last updated
Jan 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21257 TN Primary

Addresses

Primary practice location

222 22ND Ave N
Nashville, TN 37203-1852

Mailing address

301 21St Ave N
Nashville, TN 37203-1821
Phone (615) 329-5144

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230111000392 TN Practitioner - Nurse Practitioner 1254701139 Reassigns benefits to 4 organizations

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)

214 Baber Park W
Suite 130
Gallatin, TN 37066-6330
Phone (615) 623-4456

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21257TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Wellness Centers, LLC CurrentSince Sep 1, 2025 Accepting new patients
First Choice Wellness Centers, LLC CurrentSince Sep 1, 2025 Accepting new patients
Brookwell Health LLC CurrentSince Dec 1, 2023 Accepting new patients
Saint Thomas Medical Partners CurrentSince Oct 1, 2022 Accepting new patients
Ivcare Infusion LLC CurrentSince May 15, 2025 Accepting new patients
First Choice Wellness Centers, LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

214 Baber Park Pvt Dr W
Ste 130
Gallatin, TN 37066
Phone (615) 623-4456

600 Commons Dr
Ste 101A
Gallatin, TN 37066

710 Nashville Pike
Ste 103
Gallatin, TN 37066
Phone (615) 471-8673

190D Saundersville Rd
Ste 4003
Hendersonville, TN 37075
Phone (866) 589-0003

5651 Frist Blvd
Ste 401
Hermitage, TN 37076
Phone (615) 619-5424

105 W Stone Dr
Kingsport, TN 37660
Phone (423) 307-5757

2829 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 307-5757

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

301 21st Ave N
Nashville, TN 37203
Phone (615) 329-5144

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, 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": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1790137248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 21ST AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031821",
            "telephone_number": "615-329-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031852",
            "telephone_number": "615-329-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRINO",
        "first_name": "HOLLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.