Active NPI
Laura Wilson Holland, M.A. CCC-SLP
- Speech-Language Pathologist
- Mooresville, NC
National Provider Identifier
1043314081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4117
- Practice address
- 510 Carpenter Ave
Mooresville, NC 28115-2512 - Phone
- (704) 663-2115
- Fax
- (704) 663-2730
- NPI assigned
- Sep 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4117 | NC | Primary |
Addresses
Primary practice location
510 Carpenter Ave
Mooresville, NC 28115-2512
Mailing address
294 Baymount Dr.
Statesville, NC 28625
Phone (704) 876-4760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7412100 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4117 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speakability, Inc. | Speech-Language Pathologist | Past | 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.
-
- Speech-Language Pathologist
- Mooresville, NC
- NPI 1548233471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043314081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "294 BAYMOUNT DR.",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "28625",
"telephone_number": "704-876-4760",
"fax_number": "704-876-4760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 CARPENTER AVE",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281152512",
"telephone_number": "704-663-2115",
"fax_number": "704-663-2730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "LAURA",
"middle_name": "WILSON",
"name_prefix": "Mrs.",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "4117",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7412100",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.