Active NPI
Tina Holbrook, APRN
- Family Nurse Practitioner
- Richmond, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3010572
- Practice address
- 312 Jason Dr Ste 9
Richmond, KY 40475-2785 - Phone
- (859) 626-9696
- NPI assigned
- Aug 12, 2016
- Last updated
- Aug 12, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3010572 | KY | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 1109689 | KY |
Addresses
Primary practice location
312 Jason Dr Ste 9
Richmond, KY 40475-2785
Mailing address
149 Pineur Rd
Richmond, KY 40475-9152
Phone (859) 200-9747
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Trillium Way
Corbin, KY 40701-8420
Phone (606) 523-1934
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1109689 | KY | MD | Critical Care Medicine Registered Nurse |
| 3010572 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Family Practice Clinic of Booneville, Inc. | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Mountain Family Practice Clinic of Manchester Inc | Current | Accepting new patients | |
| Ethan Health LLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Richmond Family Medicine Associates | Past | Accepting new patients | |
| Lancaster Family Health Care | Past | Accepting new patients |
Locations
200 Mulberry St
#A
Booneville, KY 41314
Phone (606) 596-0701
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
108 Manchester Shopping Ctr
Manchester, KY 40962
Phone (606) 596-0701
1623 Foxhaven Dr
Richmond, KY 40475
Phone (859) 625-5235
Interoperability endpoints
- https://api.platform.athenahealth.com/3044/brand/1/csg/1/fhir/r4
Organizations & group practices 8
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.
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- Rural Health Clinic/Center
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- NPI 1326152109
-
- Rural Health Clinic/Center
- Manchester, KY
- NPI 1689919078
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- Nurse Practitioner
- Nicholasville, KY
- NPI 1255805586
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dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Rural Health Clinic/Center
- Lancaster, KY
- NPI 1942946710
-
- Family Medicine Physician
- Richmond, KY
- NPI 1366929952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470960000000",
"number": "1902350556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 PINEUR RD",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404759152",
"telephone_number": "859-200-9747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 JASON DR STE 9",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404752785",
"telephone_number": "859-626-9696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBROOK",
"first_name": "TINA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-12",
"last_updated": "2016-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3010572",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "KY",
"license": "1109689",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.