Individual provider Active NPI

Miranda Jane Holmstead, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Englewood, CO
National Provider Identifier
1346794989
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14089966 Issued in CO
Practice address
7550 S Blackhawk St
Apt 5204
Englewood, CO 80112-4068
Phone
(801) 300-0314
NPI assigned
Aug 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14089966 CO Primary

Addresses

Primary practice location

7550 S Blackhawk St
Apt 5204
Englewood, CO 80112-4068

Mailing address

7550 S Blackhawk St
Apt 5204
Englewood, CO 80112-4068
Phone (801) 300-0314

Other names 1

  • Miranda Jane King Former name

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

LicenseStateTypeSpecialty
14089966COMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1346794989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 S BLACKHAWK ST",
            "address_2": "APT 5204",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801124068",
            "telephone_number": "801-300-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 S BLACKHAWK ST",
            "address_2": "APT 5204",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801124068",
            "telephone_number": "801-300-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMSTEAD",
        "first_name": "MIRANDA",
        "middle_name": "JANE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "14089966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "KING",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.