NPIMap

Individual provider Active NPI

Kathleen Holmes, CCC-SLP

  • Speech-Language Pathologist
  • Berkley, MA
National Provider Identifier
1104292903
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9203 Issued in MA
Practice address
3 Christine CT
Berkley, MA 02779-1368
Phone
(508) 496-7011
NPI assigned
Aug 15, 2015
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
9203MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holmestead Speech-Language Pathology Services, PLLC Current
since Dec 17, 2023		 Accepting new patients
Integrated Center for Child Development Community Past
since Aug 10, 2025		 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 9203 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

3 Christine CT
Berkley, MA 02779-1368

Mailing address

3 Christine CT
Berkley, MA 02779-1368
Phone (508) 496-7011

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 27, 2023.

{
    "created_epoch": "1439596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1104292903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CHRISTINE CT",
            "city": "BERKLEY",
            "state": "MA",
            "postal_code": "027791368",
            "telephone_number": "508-496-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CHRISTINE CT",
            "city": "BERKLEY",
            "state": "MA",
            "postal_code": "027791368",
            "telephone_number": "508-496-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "KATHLEEN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-15",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "9203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.