Individual provider Active NPI

Brandi Holt, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1790405967
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
32092 Issued in TN
Practice address
65 Murray Guard Dr
Jackson, TN 38305-3628
Phone
(731) 300-0810
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 32092 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 32092 TN Primary

Addresses

Primary practice location

65 Murray Guard Dr
Jackson, TN 38305-3628

Mailing address

65 Murray Guard Dr
Jackson, TN 38305-3628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NM, VA, MI4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20230110000339 TN Practitioner - Nurse Practitioner 1153791066 Reassigns benefits to 7 organizations
I20250401002961 NM Practitioner - Nurse Practitioner 1153791066 Reassigns benefits to 3 organizations
I20250403001437 VA Practitioner - Nurse Practitioner 1153791066 Reassigns benefits to 2 organizations
I20250409001864 MI Practitioner - Nurse Practitioner 1153791066 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Imind Mental Health and Wellness LLCGroup PAC ID 8426307364, 7 clinicians

Practice addresses (Care Compare)

65 Murray Guard Dr
Jackson, TN 38305-3628
Phone (731) 300-0810

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32092TNMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Feb 15, 2025 Accepting new patients
Iris Medical Group CurrentSince Mar 1, 2024 Accepting new patients
Impact Behavioral Counseling LLC CurrentSince Jan 13, 2025 Accepting new patients
Psychplus Medical Associates of Michigan, PLLC CurrentSince Feb 27, 2025 Accepting new patients
Ultacare Medical PLLC Psychiatric/Mental Health CurrentSince Jan 11, 2026 Accepting new patients
Psychplus Associates of Michigan, PLLC Psychiatric/Mental Health CurrentSince Feb 27, 2025 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Feb 15, 2025 Accepting new patients
Forefront-Rosenzweig Medical Services Professional Corporation CurrentSince Jan 9, 2026 Accepting new patients
Imind Mental Health and Wellness LLC CurrentSince Jan 20, 2025 Accepting new patients
Legacy Medical Clinic With Mental Health, LLC Psychiatric/Mental Health Past Accepting new patients
Iris Wound Care, PC Past Accepting new patients

Locations

48 Medical Park Dr E
Ste 453
Birmingham, AL 35235
Phone (205) 517-7730

126 College St
Ste A
Battle Creek, MI 49037
Phone (269) 969-6000

15400 Michigan Ave
Ste 1
Dearborn, MI 48126
Phone (313) 207-5767

5901 Chase Rd
Ste 210
Dearborn, MI 48126
Phone (313) 945-6650

290 Town Center Dr
Ste 141
Dearborn, MI 48126

3512 Coolidge Rd
East Lansing, MI 48823
Phone (517) 318-5889

1717 Shaffer St
Ste 209
Kalamazoo, MI 49048
Phone (269) 342-2991

9310 Coors Blvd NW
Albuquerque, NM 87114
Phone (505) 431-1900

9019 Overlook Blvd
Ste C1B
Brentwood, TN 37027

65 Murray Guard Dr
Jackson, TN 38305
Phone (731) 363-5584

37 Sandstone Cir
Ste 92B
Jackson, TN 38305
Phone (731) 265-6025

1225 E Weisgarber Rd
Ste 190
Knoxville, TN 37909
Phone (423) 259-5002

992 Davidson Dr
Ste B
Nashville, TN 37205
Phone (469) 895-9275

3343 Perimeter Hill Dr
Ste 214
Nashville, TN 37211
Phone (951) 440-8989

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000

5261 Carrollton Pike
Ste A
Woodlawn, VA 24381

Organizations & group practices 12

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": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1790405967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MURRAY GUARD DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MURRAY GUARD DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053628",
            "telephone_number": "731-300-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "BRANDI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "32092",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "32092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.