Individual provider Active NPI

Erin Kathleen Holman, AU.D

  • Audiologist
  • Cleburne, TX
National Provider Identifier
1174844641
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80233 Issued in TX
Practice address
203 Walls Dr
Suite 101
Cleburne, TX 76033-7022
Phone
(817) 641-3750
Fax
(817) 641-3754
NPI assigned
Jun 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80233 TX Primary
Audiologist-Hearing Aid Fitter 237600000X 80233 TX

Addresses

Primary practice location

203 Walls Dr
Suite 101
Cleburne, TX 76033-7022

Mailing address

203 Walls Dr
Suite 101
Cleburne, TX 76033-7022
Phone (817) 641-3750

Other identifiers 1

IdentifierTypeStateIssuer
081301601MedicaidTX

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
80233TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1174844641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WALLS DR",
            "address_2": "SUITE 101",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337022",
            "telephone_number": "817-641-3750",
            "fax_number": "817-641-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WALLS DR",
            "address_2": "SUITE 101",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337022",
            "telephone_number": "817-641-3750",
            "fax_number": "817-641-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "ERIN",
        "middle_name": "KATHLEEN",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80233",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "80233",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081301601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.