Active NPI
Jessica L Holt, CRNP
- Family Nurse Practitioner
- Cranberry Township, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP012391
- Practice address
- 5 Saint Francis Way
Cranberry Township, PA 16066-5119 - Phone
- (724) 772-5350
- NPI assigned
- Feb 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP012391 | PA | Primary |
Addresses
Primary practice location
5 Saint Francis Way
Cranberry Township, PA 16066-5119
Mailing address
328 Woodridge Dr
Washington, PA 15301-8329
Phone (724) 986-2792
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Wellness Way
Fort Mill, SC 29715-7315
Phone (803) 329-1234
Hospital & facility affiliations
- Piedmont Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP012391 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Hospitalist Services PC | Current | Accepting new patients | |
| Cogent Healthcare of Georgia PC | Current | Accepting new patients | |
| Piedmont Pulmonology, LLC | Past | Accepting new patients |
Locations
302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940
1000 Wellness Way
Fort Mill, SC 29715
Phone (803) 329-1234
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950
Organizations & group practices 3
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.
-
- Hospitalist Physician
- Myrtle Beach, SC
- NPI 1003280108
-
- Internal Medicine Physician
- Rock Hill, SC
- NPI 1942488903
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rock Hill, SC
- NPI 1457382483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359763200000",
"number": "1851630438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 WOODRIDGE DR",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153018329",
"telephone_number": "724-986-2792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 SAINT FRANCIS WAY",
"city": "CRANBERRY TOWNSHIP",
"state": "PA",
"postal_code": "160665119",
"telephone_number": "724-772-5350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "JESSICA",
"middle_name": "L",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-02",
"last_updated": "2013-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP012391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cranberry Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.