Holly Leanne Fernalld

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60576946 Issued in WA

Practice address

906 W Weile Ave
Spokane, WA 99208-6263

Phone

(509) 354-3382

Fax

(509) 354-3404

NPI assigned

Sep 19, 2014

Last updated

Nov 4, 2021By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1417359563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 W IVANHOE RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992182167",
            "telephone_number": "509-466-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 W WEILE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086263",
            "telephone_number": "509-354-3382",
            "fax_number": "509-354-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNALLD",
        "first_name": "HOLLY",
        "middle_name": "LEANNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60576946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH",
            "identifier": "LL605769946",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Leland Ferguson, RN
• Simone Ferguson
• Micaiah Ferlito, LMT
• Peter E Fern, M.D.
• Margaret Fernald, BA
• Neville Fernandes, M.D.
• Tiffany Fernandez-Neel
• Cecily Fernandez
• Patricia Emelina Fernandez, PSY.D
• James Emil Fernando, M.D.

• Speech-Language Pathologist in Spokane, WA
• Providers in Spokane, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.