Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Amanda Jo Holder

Individual provider Registered Nurse · NPI 1194564211

Mrs. Amanda Jo Holder is a Nurse Practitioner in Somerset, Kentucky. Qualified in 2024, 2 years ago. Practices with Lake Cumberland Physician Practices LLC, a 48-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

305 Langdon St
Somerset, KY 42503-2750
Phone: (606) 679-7441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4026740 (KY)
Registered Nurse Taxonomy 163W00000X · Licence 1121119 (KY)

Record details

NPI number1194564211
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 20, 2024
Last updated in NPPESAugust 25, 2024
Certification dateAugust 25, 2024
Mailing address2575 N Highway 1247, Somerset, KY 42503-4603

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Lake Cumberland Physician Practices Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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