MEDICARE: MS. KELLY RYAN HOLBERT FNP-BC, PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11020555	FL
2	363LF0000X	Family Nurse Practitioner	APRN11020555	FL

General Provider Information

NPI Number	:	1710601828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KELLY RYAN HOLBERT FNP-BC, PMHNP-BC

Provider Business Mailing Address
First Line	:	19907 WYNDMILL CIR
Second Line	:
City	:	ODESSA
State	:	FL
Zip	:	33556-1731
Country	:	US
Telephone Number	:	813-728-4414
Fax Number	:

Provider Business Practice Location Address
First Line	:	6641 MADISON ST STE 3
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-1966
Country	:	US
Telephone Number	:	727-203-4417
Fax Number	:	727-203-4427

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2022
Last Update Date	:	01/21/2026

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1164604526 — DAVID O IKUDAYISI M.D.
Practice Location Address:

6641 MADISON ST , SUITE 3
NEW PORT RICHEY, FL
34652-1966

Practice Phone: 727-232-0826
Practice Fax: 727-597-8487

1841591534 — BARBARA ANN SMITH ARNP,PMHNP-BC, FNP-C
Practice Location Address:

6641 MADISON ST STE 3
NEW PORT RICHEY, FL
34652-1966

Practice Phone: 727-477-0988
Practice Fax:

1558617399 — GLORY CENTER, P.A.
Practice Location Address:

6641 MADISON ST , SUITE 3
NEW PORT RICHEY, FL
34652-1966

Practice Phone: 727-232-0826
Practice Fax: 727-597-8487

1164860946 — MARIAGROUPLLC
Practice Location Address:

6641 MADISON ST
NEW PORT RICHEY, FL
34652-1966

Practice Phone: 727-687-7500
Practice Fax: 727-845-8008

1801270129 — JESSICA LEVAN APRN
Practice Location Address:

6641 MADISON ST STE 3
NEW PORT RICHEY, FL
34652-1966

Practice Phone: 727-203-4417
Practice Fax:

Directions to “ MS. KELLY RYAN HOLBERT FNP-BC, PMHNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.