Active NPI
Stephanie H Holder
- Speech-Language Pathologist
- Wilmington, NC
National Provider Identifier
1083871370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4196
- Practice address
- 2006 S 16TH St
Wilmington, NC 28401-6613 - Phone
- (910) 762-4878
- Fax
- (910) 763-3878
- NPI assigned
- May 22, 2008
- Last updated
- May 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 4196 | NC | Primary |
Addresses
Primary practice location
2006 S 16TH St
Wilmington, NC 28401-6613
Mailing address
5512 Skeet Rd
Wilmington, NC 28409-4016
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 |
|---|---|---|---|
| 4196 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1083871370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5512 SKEET RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284094016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 S 16TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284016613",
"telephone_number": "910-762-4878",
"fax_number": "910-763-3878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDER",
"first_name": "STEPHANIE",
"middle_name": "H",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "4196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.