Individual provider Active NPI

Judith Kemp Holly

  • Speech-Language Pathologist
  • Cary, NC
National Provider Identifier
1104088236
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
46695 Issued in CA
Practice address
711 Collington Dr
Cary, NC 27511-5836
Phone
(919) 460-6500
NPI assigned
Jun 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 46695 CA Primary
Speech-Language Pathologist 235Z00000X 08869 MD
Speech-Language Pathologist 235Z00000X 4446 NC

Addresses

Primary practice location

711 Collington Dr
Cary, NC 27511-5836

Mailing address

711 Collington Dr
Cary, NC 27511-5836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260319000618 NC Practitioner - Qualified Speech Language Pathologist 8426532367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevation Rehab, LLCGroup PAC ID 2062814106, 15 clinicians

Practice addresses (Care Compare)

3420 Wake Forest Hwy
Durham, NC 27703-3522
Phone (919) 823-1606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46695CAMDSpeech-Language Pathologist
08869MDMDSpeech-Language Pathologist
4446NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Honey'S Assisted Living, LLC CurrentSince Feb 11, 2026 Accepting new patients
Elevation Rehab, LLC Speech-Language Pathologist CurrentSince Feb 11, 2026 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1104088236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 COLLINGTON DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 COLLINGTON DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115836",
            "telephone_number": "919-460-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLY",
        "first_name": "JUDITH",
        "middle_name": "KEMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "46695",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "08869",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "4446",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.