Provider Demographics
NPI:1477515732
Name:AHOLT, RACHEL (CFNP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:AHOLT
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:615-322-3000
Mailing Address - Fax:
Practice Address - Street 1:VANDERBILT UNIVERSITY STUDENT CTR
Practice Address - Street 2:ZERFOSS BUILDING, STATION 17
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-8710
Practice Address - Country:US
Practice Address - Phone:615-322-2427
Practice Address - Fax:615-343-0047
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.369310163W00000X
TN124713163W00000X
TN10929363L00000X
IL209007186363L00000X
HIAPRN-884363LF0000X
TNAPN10929363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIVAD000Medicare UPIN