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

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

Practice location Address checks out

305 Langdon St
Somerset, KY 42503-2750
Phone: (606) 679-7441
Show map & directions

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

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

Other providers in Somerset