Active NPI
Theresa Holt, APRN
- Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11008523
- Practice address
- 1131 S Orange Ave
Orlando, FL 32806-1226 - Phone
- (941) 444-0011
- Fax
- (603) 952-3900
- NPI assigned
- Mar 22, 2021
- Last updated
- Aug 2, 2025
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11008523 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | APRN11008523 | FL |
Addresses
Primary practice location
1131 S Orange Ave
Orlando, FL 32806-1226
Mailing address
PO Box 23168
New York, NY 10087-0001
Phone (941) 444-0011
Other practice location 1
13770 Plantation Rd # 103
Fort Myers, FL 33912-4460
Phone (941) 444-0011
Other practice location 2
934 Williston Park Pt Ste 1028
Lake Mary, FL 32746-2165
Phone (407) 333-2518
Other names 1
- Theresa I Holt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1131 S Orange Ave
Orlando, FL 32806-1226
Phone (941) 444-0011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11008523 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis Dermatology, PA | Current | Accepting new patients | |
| Onspot-FL | Current | Accepting new patients | |
| Nosky P.a. | Past | Accepting new patients |
Locations
13770 Plantation Rd
#103
Fort Myers, FL 33912
16461 Domestic Ave
Fort Myers, FL 33912
Phone (772) 667-7688
504 S Orange St
New Smyrna Beach, FL 32168
Phone (386) 256-1969
1131 S Orange Ave
Orlando, FL 32806
Phone (407) 237-6333
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Procedural Dermatology Physician
- New Smyrna Beach, FL
- NPI 1104330224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754092800000",
"number": "1902482722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23168",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100870001",
"telephone_number": "941-444-0011",
"fax_number": "603-952-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 S ORANGE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061226",
"telephone_number": "941-444-0011",
"fax_number": "603-952-3900"
}
],
"practiceLocations": [
{
"address_1": "13770 Plantation Rd # 103",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339124460",
"country_code": "US",
"telephone_number": "941-444-0011",
"fax_number": "603-952-3900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "934 Williston Park Pt Ste 1028",
"address_purpose": "LOCATION",
"city": "Lake Mary",
"state": "FL",
"postal_code": "327462165",
"country_code": "US",
"telephone_number": "407-333-2518",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLT",
"first_name": "THERESA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-22",
"last_updated": "2025-08-02",
"certification_date": "2025-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11008523",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11008523",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "HOLT",
"middle_name": "I",
"credential": "APRN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2025; 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.