Active NPI
Dianne Linda Holly, MS, CCC-SLP
- Speech-Language Pathologist
- Los Angeles, CA
National Provider Identifier
1215288840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 16024
- Practice address
- 6900 Woody TRL
Los Angeles, CA 90068-1852 - Phone
- (323) 874-8065
- Fax
- (323) 874-8065
- NPI assigned
- Sep 21, 2012
- Last updated
- Jul 1, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 16024 | CA | Primary |
Addresses
Primary practice location
6900 Woody TRL
Los Angeles, CA 90068-1852
Mailing address
6900 Woody TRL
Los Angeles, CA 90068-1852
Phone (213) 842-0276
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16024 | CA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372636800000",
"number": "1215288840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 WOODY TRL",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900681852",
"telephone_number": "213-842-0276",
"fax_number": "323-874-8065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 WOODY TRL",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900681852",
"telephone_number": "323-874-8065",
"fax_number": "323-874-8065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLY",
"first_name": "DIANNE",
"middle_name": "LINDA",
"name_prefix": "Ms.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-21",
"last_updated": "2013-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "16024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.