Active NPI
Erica Holbrook, M.S. CCC/SLP
- Speech-Language Pathologist
- New Port Richey, FL
National Provider Identifier
1376920199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA16869
- Practice address
- 6245 State Road 54
New Port Richey, FL 34653 - Phone
- (727) 376-1111
- NPI assigned
- Apr 30, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA16869 | FL | Primary |
Addresses
Primary practice location
6245 State Road 54
New Port Richey, FL 34653
Mailing address
6245 State Road 54
New Port Richey, FL 34653-6006
Phone (727) 376-1111
Other practice location 1
1491 Twilight Trl
Frankfort, KY 40601-8497
Phone (502) 352-2967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA16869 | Other | FL | FLORIDA STATE BOARD OF HEALTH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA16869 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1376920199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6245 STATE ROAD 54",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346536006",
"telephone_number": "727-376-1111",
"fax_number": "727-376-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6245 STATE ROAD 54",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "34653",
"telephone_number": "727-376-1111"
}
],
"practiceLocations": [
{
"address_1": "1491 Twilight Trl",
"address_purpose": "LOCATION",
"city": "Frankfort",
"state": "KY",
"postal_code": "406018497",
"country_code": "US",
"telephone_number": "502-352-2967",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLBROOK",
"first_name": "ERICA",
"credential": "M.S. CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-30",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA16869",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA STATE BOARD OF HEALTH",
"identifier": "SA16869",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.