Individual provider Active NPI

Kim Marie Crawford Holland

  • Speech-Language Pathologist
  • Pompano Beach, FL
National Provider Identifier
1407054661
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 8326 Issued in FL
Practice address
138 S Cypress Rd Apt 212
Pompano Beach, FL 33060-7046
Phone
(954) 782-3579
NPI assigned
Jul 10, 2007
Last updated
Jul 10, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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 SA 8326 FL Primary

Addresses

Primary practice location

138 S Cypress Rd Apt 212
Pompano Beach, FL 33060-7046

Mailing address

138 S Cypress Rd Apt 212
Pompano Beach, FL 33060-7046
Phone (954) 782-3579

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA 8326FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1407054661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 S CYPRESS RD APT 212",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607046",
            "telephone_number": "954-782-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 S CYPRESS RD APT 212",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607046",
            "telephone_number": "954-782-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD HOLLAND",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 8326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.