Holland Michelle Gazaway, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

115 Bonnie LN
Farmington, AR 72730-2607

Phone

(903) 278-8848

NPI assigned

Aug 10, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Therapy Services, Inc.

  • Pediatric Physical Therapist
  • Fayetteville, AR
  • NPI 1326008863
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1033663737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BONNIE LN",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727302607",
            "telephone_number": "903-278-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BONNIE LN",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727302607",
            "telephone_number": "903-278-8848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2070 McKenzie Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727620870",
            "country_code": "US",
            "telephone_number": "903-278-8848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAZAWAY",
        "first_name": "HOLLAND",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Flumm
• Foundational Futures PLLC
• Julia Maria Fuster, PA-C
• Sherri Gansz, LCSW
• Gavin Trogdon DDS PA
• Paige Marie Gentry
• Kathryn Brooks Gillerlain, MPH, RD, LDN, CSCS
• Amy Gillham
• Mittie Bernice Greening, SPEECH THERAPY ASSIS
• Guiding Solutions Therapy, LLC

• Speech-Language Pathologist in Farmington, AR
• Providers in Farmington, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.