AMANDA MARIA HOLT AUTONOMOUS APRN, FNP
NPI 1194001545
Nurse Practitioner - Family in Ponte Vedra, FL

Active since October 31, 2011Opted out of Medicare · through Aug 30, 2026
10870 US HIGHWAY 1 N UNIT 105, PONTE VEDRA, FL 32081(904) 815-8353 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2026, Sep 3, 2024 (2 updates tracked since 2024).

About Amanda Maria Holt Autonomous Aprn, Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA MARIA HOLT AUTONOMOUS APRN, FNP (NPI 1194001545) is an individual family provider in Ponte Vedra, Florida, licensed in Florida (APRN11033200) and active in the NPI registry since October 2011. She has opted out of Medicare through August 30, 2026 and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1194001545
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA MARIA HOLTCredential: AUTONOMOUS APRN, FNP
Location Address10870 US HIGHWAY 1 N UNIT 105Ponte Vedra, FL 32081-7804
Mailing Address155 Bartram Market Dr Ste 135-185Saint Johns, FL 32259-4581 · (904) 815-8353
Sole ProprietorNo
Enumeration DateOctober 31, 2011
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
NPI 1194001545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in FL · APRN11033200 Licensed in NC · 5005343
10870 US HIGHWAY 1 N UNIT 105, Ponte Vedra, FL 32081

Secondary Practice Location 1

Location 110512 Park Rd, Suite 210Charlotte, NC 28210-8475 · Phone (704) 790-2450 · Fax (704) 790-2451

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Amanda Maria Holt Autonomous Aprn, Fnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 30, 2024 through August 30, 2026.

Opt-Out Effective DateAugust 30, 2024
Opt-Out In Effect ThroughAugust 30, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
10870 US HIGHWAY 1 N UNIT 105
PONTE VEDRA, FL 32081
Clinic/Center (Primary Care)
10870 US HIGHWAY 1 N UNIT 105
PONTE VEDRA, FL 32081
Massage Therapist
10870 US HIGHWAY 1 N UNIT 105
PONTE VEDRA, FL 32081

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Holt's NPI number?

The NPI number for Amanda Holt is 1194001545. It was assigned to this individual provider in the NPPES registry on October 31, 2011.

Where is Amanda Holt located?

Amanda Holt practices at 10870 Us Highway 1 N Unit 105, Ponte Vedra, FL 32081. The listed phone number is (904) 815-8353.

What is Amanda Holt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amanda Holt enrolled in Medicare?

No. Amanda Holt has opted out of Medicare through August 30, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Amanda Holt was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.