Individual provider Active NPI

Pamela Jone Holland, MA CCC S, BCS-S

  • Speech-Language Pathologist
  • Huntington, WV
National Provider Identifier
1386707560
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP0533 Issued in WV
Practice address
Marshall University Speech and Hearing Center
1 John Marshall Drive
Huntington, WV 25755-2675
Phone
(304) 696-3641
Fax
(304) 696-2986
NPI assigned
Dec 18, 2006
Last updated
Dec 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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 SLP0533 WV Primary

Addresses

Primary practice location

Marshall University Speech and Hearing Center
1 John Marshall Drive
Huntington, WV 25755-2675

Mailing address

Marshall University Speech and Hearing Center
1 John Marshall Drive
Huntington, WV 25755-2675
Phone (304) 696-3641

Other identifiers 1

IdentifierTypeStateIssuer
7402191000MedicaidWV

Other names 1

  • Mrs. Pamela Jane Holland Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pamela.holland@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100630000677 WV Practitioner - Qualified Speech Language Pathologist 3274664560 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SLP0533WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall University Speech-Language Pathologist CurrentSince Jan 1, 2023 Accepting new patients

Locations

1 John Marshall Dr
Huntington, WV 25755
Phone (304) 696-3641

1 John Marshall Dr
#143
Huntington, WV 25755
Phone (304) 696-3641

Interoperability endpoints

  • Direct secure messaging: pamela.holland@marshall.cernerdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1386707560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MARSHALL UNIVERSITY SPEECH AND HEARING CENTER",
            "address_2": "1 JOHN MARSHALL DRIVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257552675",
            "telephone_number": "304-696-3641",
            "fax_number": "304-696-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARSHALL UNIVERSITY SPEECH AND HEARING CENTER",
            "address_2": "1 JOHN MARSHALL DRIVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257552675",
            "telephone_number": "304-696-3641",
            "fax_number": "304-696-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "PAMELA",
        "middle_name": "JONE",
        "name_prefix": "Mrs.",
        "credential": "MA CCC S, BCS-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP0533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7402191000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pamela.holland@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "Marshall University Speech and Hearing Center",
            "address_2": "1 John Marshall Drive",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257552675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "HOLLAND",
            "middle_name": "JANE",
            "prefix": "MRS.",
            "credential": "MA CCC S, BCS-S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.