Individual provider Active NPI

Gabrielle Kiedren Louise Holden, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, KY
National Provider Identifier
1811613995
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3018477 Issued in KY
Practice address
212 N 2ND St Ste 100
Richmond, KY 40475-1408
Phone
(270) 348-3849
Fax
(931) 342-8386
NPI assigned
Oct 19, 2022
Last updated
May 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3018477 KY Primary

Addresses

Primary practice location

212 N 2ND St Ste 100
Richmond, KY 40475-1408

Mailing address

1646 Prather Dr
Nancy, KY 42544-8724
Phone (931) 241-8323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20221214001256 KY Practitioner - Nurse Practitioner 9537538525 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aegis Mental HealthGroup PAC ID 7618349366, 2 clinicians

Practice addresses (Care Compare)

671 W Hwy 80
Suite 1
Somerset, KY 42503-1713
Phone 6064254567108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PPL Therapeutic Services PLLC Nurse Practitioner CurrentSince Nov 6, 2022 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Apr 17, 2024 Accepting new patients
Aegis Mental Health CurrentSince Jan 1, 2023 Accepting new patients
Serene Reflections LLC Psychiatric/Mental Health Current Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

1700 Elmdale Rd
Paducah, KY 42003
Phone (270) 534-9173

212 N 2nd St
Ste 100
Richmond, KY 40475
Phone (317) 332-9861

106 Gover St
Somerset, KY 42501
Phone (606) 679-8331

2430 Monticello Rd
Somerset, KY 42501
Phone (606) 425-4567

671 W Highway 80
Ste 1
Somerset, KY 42503
Phone (606) 425-4567

Organizations & group practices 4

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": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1811613995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 PRATHER DR",
            "city": "NANCY",
            "state": "KY",
            "postal_code": "425448724",
            "telephone_number": "931-241-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N 2ND ST STE 100",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751408",
            "telephone_number": "270-348-3849",
            "fax_number": "931-342-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "GABRIELLE",
        "middle_name": "KIEDREN LOUISE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3018477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.