Active NPI
Terri Linn Holtgrewe, M.A., CCC/SLP
- Speech-Language Pathologist
- Saint Peters, MO
National Provider Identifier
1063686913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 02051
- Practice address
- 1725 Thoele Rd
Saint Peters, MO 63376-3254 - Phone
- (636) 851-4511
- NPI assigned
- Apr 22, 2008
- Last updated
- Apr 22, 2008
- 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 | 02051 | MO | Primary |
Addresses
Primary practice location
1725 Thoele Rd
Saint Peters, MO 63376-3254
Mailing address
1725 Thoele Rd
Saint Peters, MO 63376-3254
Phone (636) 851-4511
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
| License | State | Type | Specialty |
|---|---|---|---|
| 02051 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1063686913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 THOELE RD",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633763254",
"telephone_number": "636-851-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 THOELE RD",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633763254",
"telephone_number": "636-851-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTGREWE",
"first_name": "TERRI",
"middle_name": "LINN",
"name_prefix": "Ms.",
"credential": "M.A., CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-22",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "02051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.