Holly Jansen, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

13709 Issued in FL

Practice address

305 Golden Elm Dr
Seffner, FL 33584-4771

Phone

(785) 577-1685

NPI assigned

Oct 14, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• Empowerme Rehabilitation Missouri LLC

  • Multi-Specialty Clinic/Center
  • Prairie Village, KS
  • NPI 1205334521

  Speech-Language Pathologist

  NPD
• Empowerme Rehabilitation Missouri LLC

  • Rehabilitation Clinic/Center
  • Columbia, MO
  • NPI 1558932327

  Speech-Language Pathologist

  NPD
• Empowerme Wellness Kansas City, LLC

  • Multi-Specialty Clinic/Center
  • Prairie Village, KS
  • NPI 1124619697

  Speech-Language Pathologist

  NPD
• Empowerme Wellness Kansas City, LLC

  • Rehabilitation Clinic/Center
  • Liberty, MO
  • NPI 1174299044
  NPD

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1396173175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 GOLDEN ELM DR",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335844771",
            "telephone_number": "785-577-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 GOLDEN ELM DR",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335844771",
            "telephone_number": "785-577-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "HOLLY",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-14",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "13709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATE OF CLINICAL COMPETENCE",
            "identifier": "14079079",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF KANSAS",
            "identifier": "3574",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA - DEPARTMENT OF HEALTH",
            "identifier": "13709",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO SLP LICENSE",
            "identifier": "0001400",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberley Hunt
• Lys Maike Ice, APRN
• Idelis Fedeslinda Arias de la Torre
• Ruxandra Ivascu, PHARMD
• Sharica Y Jackson
• Kamillia Kasndra Jefferies
• Jeh-Nissi Inc
• Jinnah Life Care Commuinty
• Agatha Jones
• Madison Jones, PHARMD

• Speech-Language Pathologist in Seffner, FL
• Providers in Seffner, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.