Audrey Holmes

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA17263 Issued in FL

Practice address

1755 37TH St
Vero Beach, FL 32960-4812

Phone

(772) 567-2443

NPI assigned

Jan 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Audrey Harrington Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1104414408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 STOCKBRIDGE SQ SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329624215",
            "telephone_number": "616-389-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 37TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604812",
            "telephone_number": "772-567-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "AUDREY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA17263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA NUMBER",
            "identifier": "14075195",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "audrey.holmes@palmgardenrehab.com",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1755 37th St",
            "city": "Vero Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329604812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "HARRINGTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Sjur Holland, PSY.D.
• Sean Lee Holland, LMT
• Hollinger MD PLLC
• Christopher Charles Hollinger, MD
• Elizabeth Parker Holman, APRN
• John James Holmes, M.D.
• Robert D Holmstrom, MD
• David Leslie Holtzclaw, M.D.
• Peter Roman Holyk, M.D.. C.N.S.
• Home Run Healing, LLC

• Speech-Language Pathologist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.