Individual provider Active NPI

Holly Steinke, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Temple, TX
National Provider Identifier
1134549090
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
109083 Issued in TX
Practice address
2401 S 31St St
Temple, TX 76508-5725
Phone
(254) 724-2111
NPI assigned
Apr 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 109083 TX Primary

Addresses

Primary practice location

2401 S 31St St
Temple, TX 76508-5725

Mailing address

757 East Hwy 80
160
Forney, TX 75126
Phone (469) 602-5283

Other practice location 1

757 E Highway 80
Suite 160
Forney, TX 75126-8732
Phone (469) 602-5283

Other names 1

  • Holly Dehaan Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hdehaan70133@direct.sw.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150713001246 TX Practitioner - Qualified Speech Language Pathologist 7012229503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Texas Tech University Health Science Center School of Medicine, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Precision Sports Physical TherapyGroup PAC ID 3678814100, 6 clinicians

Practice addresses (Care Compare)

757 E Hwy 80
Suite 160
Forney, TX 75126
Phone (254) 749-9694

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
109083TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Sports Physical Therapy CurrentSince Apr 1, 2021 Accepting new patients

Locations

757 E US Highway 80
Ste 160
Forney, TX 75126
Phone (469) 393-4521

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1798/brand/1/csg/1/fhir/r4
  • Direct secure messaging: hdehaan70133@direct.sw.org

Organizations & group practices 1

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": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1134549090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 EAST HWY 80",
            "address_2": "160",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "75126",
            "telephone_number": "469-602-5283",
            "fax_number": "469-602-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765085725",
            "telephone_number": "254-724-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 E HIGHWAY 80",
            "address_2": "SUITE 160",
            "address_purpose": "LOCATION",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751268732",
            "country_code": "US",
            "telephone_number": "469-602-5283",
            "fax_number": "469-602-5683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEINKE",
        "first_name": "HOLLY",
        "name_prefix": "Miss",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2021-05-12",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "109083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hdehaan70133@direct.sw.org",
            "affiliation": "N",
            "address_1": "2401 S 31st St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765085725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "DEHAAN",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.