Individual provider Active NPI

Sonja Nicole Holle, M.A., CCC-SLP/L

  • Speech-Language Pathologist
  • Wichita, KS
National Provider Identifier
1033778915
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2156 Issued in KS
Practice address
Wsu Speech Language Healing Clinic
5015 E 29TH St. N, Entrance T
Wichita, KS 67220
Phone
(316) 978-3192
Fax
(316) 978-7264
NPI assigned
Jun 13, 2019
Last updated
Jun 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2156 KS Primary

Addresses

Primary practice location

Wsu Speech Language Healing Clinic
5015 E 29TH St. N, Entrance T
Wichita, KS 67220

Mailing address

Wsu Speech Language Healing Clinic
1845 Fairmont St. Box 99
Wichita, KS 67260
Phone (316) 978-3289

Other names 1

  • Sonja Melcher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2156KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita State University Speech-Language Pathologist PastSince Jan 9, 2015 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1033778915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WSU SPEECH LANGUAGE HEALING CLINIC",
            "address_2": "1845 FAIRMONT ST. BOX 99",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67260",
            "telephone_number": "316-978-3289",
            "fax_number": "316-978-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WSU SPEECH LANGUAGE HEALING CLINIC",
            "address_2": "5015 E 29TH ST. N, ENTRANCE T",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67220",
            "telephone_number": "316-978-3192",
            "fax_number": "316-978-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLE",
        "first_name": "SONJA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONJA",
            "last_name": "MELCHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.