Holly Springs Feeding & Speech

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11212 Issued in NC

Legal business name

HOLLY SPRINGS FEEDING & SPEECH

Practice address

500 Holly Springs Rd Ste 101
Holly Springs, NC 27540-6204

Phone

(919) 297-2997

Fax

(919) 297-2993

NPI assigned

Dec 15, 2016

Organization subpart

No

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

Authorized official

Name

Jill Odle Sr., SLPNPI 1780915629

Title

Speech Language Pathologist

Phone

(919) 297-2997

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill Odle

  • Speech-Language Pathologist
  • Apex, NC
  • NPI 1780915629
  Medicare reassignment NPD Authorized official
• Samantha Margaret Bartolo, MS, CCC-SLP

  • Speech-Language Pathologist
  • Holly Springs, NC
  • NPI 1770267890
  NPD (past)
• Megan Fitzpatrick Catanese, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Holly Springs, NC
  • NPI 1558669333
  NPD (past)
• Alicia M Colby, MA CCC SLP

  • Speech-Language Pathologist
  • Holly Springs, NC
  • NPI 1407371503
  NPD (past)
• Amanda Martschenko

  • Speech-Language Pathologist
  • Holly Springs, NC
  • NPI 1659105823
  NPD (past)
• Jacob Strong, MS, CCC-SLP

  • Speech-Language Pathologist
  • Holly Springs, NC
  • NPI 1578312062
  NPD (past)

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1366986937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HOLLY SPRINGS RD STE 101",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406204",
            "telephone_number": "919-297-2997",
            "fax_number": "919-297-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HOLLY SPRINGS RD STE 101",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406204",
            "telephone_number": "919-297-2997",
            "fax_number": "919-297-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY SPRINGS FEEDING & SPEECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "ODLE",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "919-297-2997",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "11212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Springs Counseling Center
• Holly Springs Direct Primary Care, PLLC
• Holly Springs Ear, Nose, Throat & Allergy, PC
• Holly Springs Eye and Laser PLLC
• Holly Springs Family Dentistry
• Holly Springs Medical Center, PA
• Holly Springs Neurology PA
• Holly Springs Pediatrics
• Holly Springs Pharmacy LLC
• Holly Springs Pharmacy LLC

• Speech-Language Pathologist in Holly Springs, NC
• Providers in Holly Springs, 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 Dec 15, 2016; 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.

Verify at the official NPI Registry.