Lisa Dawn Holt, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9777 Issued in NC

Practice address

601 Small Country LN
Midland, NC 28107-7239

Phone

(704) 771-0051

NPI assigned

Jul 20, 2022

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306571583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SMALL COUNTRY LN",
            "city": "MIDLAND",
            "state": "NC",
            "postal_code": "281077239",
            "telephone_number": "704-771-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SMALL COUNTRY LN",
            "city": "MIDLAND",
            "state": "NC",
            "postal_code": "281077239",
            "telephone_number": "704-771-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "LISA",
        "middle_name": "DAWN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "9777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice B Furr, OTA/L
• Mary D Gavin, MS, RD, LDN
• Taylor Hanson
• Katherine Moore Henriques Fernandez, OTR/L
• Jordan Holt, COTA
• Amie L Howe, PHARMD
• Madison Jenkins Huntley, CLD
• Rhonda J Huthmacher, LMFT
• Intentional Growth Behavioral Health Services, PLLC
• Dawn Kiker, OTR/L

• Speech-Language Pathologist in Midland, NC
• Providers in Midland, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.