Holly Heath Qualls, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-281 Issued in NV

Practice address

317 D Street
Hawthorne, NV 89415

Phone

(775) 316-0289

NPI assigned

Aug 6, 2013

Last updated

Aug 6, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1275965741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1733",
            "city": "HAWTHORNE",
            "state": "NV",
            "postal_code": "894151733",
            "telephone_number": "775-316-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 D STREET",
            "city": "HAWTHORNE",
            "state": "NV",
            "postal_code": "89415",
            "telephone_number": "775-316-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUALLS",
        "first_name": "HOLLY",
        "middle_name": "HEATH",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nevada State Health Division (Frontier and Rural Public Health)
• Nevada State Health Division/Far Nursin (Frontier and Rural Public Health)
• Wanda Nixon, RN
• Cynthia Maureen Norman, PCS
• Garrison Nutt, M.ED
• Nancy Rutherford
• Safeway Inc (Safeway Pharmacy #2255)
• Lakshmi Sriharsha Bingi
• State of Nevada (Hawthorne Mental Health Center)
• State of Nevada (Hawthorne Mental Health Center)

• Speech-Language Pathologist in Hawthorne, NV
• Providers in Hawthorne, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.

Verify at the official NPI Registry.