Individual provider Active NPI

Tanner Scott Holsted, APRN-CNP

  • Family Nurse Practitioner
  • Weatherford, OK
National Provider Identifier
1992402101
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216686 Issued in OK
Practice address
1303 N Washington St
Weatherford, OK 73096-2443
Phone
(580) 772-2820
NPI assigned
Feb 8, 2023
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R0129638 OK
Family Nurse Practitioner 363LF0000X 216686 OK Primary

Addresses

Primary practice location

1303 N Washington St
Weatherford, OK 73096-2443

Mailing address

1303 N Washington St
Weatherford, OK 73096-2443
Phone (580) 772-2820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20240327000355 OK Practitioner - Nurse Practitioner 3072950997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2088 N Hwy 81
Xpress Wellness Urgent Care
Duncan, OK 73533-1416
Phone (580) 606-6201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0129638OKMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Mar 14, 2024 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Mar 14, 2024 Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients

Locations

416 N Main St
Altus, OK 73521
Phone (580) 379-0325

1120 N Highway 81
Duncan, OK 73533
Phone (580) 536-9355

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

1303 N Washington St
Weatherford, OK 73096
Phone (580) 772-2820

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": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1992402101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 N WASHINGTON ST",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730962443",
            "telephone_number": "580-772-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 N WASHINGTON ST",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730962443",
            "telephone_number": "580-772-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSTED",
        "first_name": "TANNER",
        "middle_name": "SCOTT",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-08",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0129638",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "216686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, OK

Sources for this page

Verify at the official NPI Registry.