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Tracy Ryan Holt, APRN

Nurse Practitioner in Louisville, KY. Individual provider (NPI-1).

NPI number1730458530
StatusActive
Last updated in NPPESMay 9, 2023

Details

NPI
1730458530
Entity type
Individual (NPI-1)
Name
Tracy Ryan Holt
Credential
APRN
Sex
Female
Sole proprietor
No
Enumeration date
Dec 22, 2011
Certification date
May 9, 2023
Last updated
May 9, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner3007211KYYes

Practice location

200 E Chestnut St Ste 303
Louisville, KY 40202-1831

Phone 502-629-5552 · Fax 502-629-3132

Mailing address

Po Box 776351
Chicago, IL 60677-6351

Phone 502-588-9490 · Fax 502-272-5116

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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