Active NPI
Donnareakica Tonette Holder
- Speech-Language Pathologist
- Lumberton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA16940
- Practice address
- 210 Liberty Hill Rd
Lumberton, NC 28358-2442 - Phone
- (910) 272-9056
- NPI assigned
- Aug 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14458 | NC | |
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | SA16940 | FL | Primary |
Addresses
Primary practice location
210 Liberty Hill Rd
Lumberton, NC 28358-2442
Mailing address
32 W 11TH St
Jacksonville, FL 32206-3615
Phone (561) 562-2314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14458 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services, Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2219 Chiquita Blvd S
Cape Coral, FL 33991
Phone (239) 205-3654
1315 2nd Ave N
Jax Bch, FL 32250
Phone (904) 615-8076
8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979
38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
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.
-
- Physical Therapist
- Tampa, FL
- NPI 1336535988
Speech-Language Pathologist
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1265623474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 W 11TH ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322063615",
"telephone_number": "561-562-2314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 LIBERTY HILL RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582442",
"telephone_number": "910-272-9056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDER",
"first_name": "DONNAREAKICA",
"middle_name": "TONETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-05",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "14458",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA16940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.