Cameron Rose Holt Sample

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

569493J Issued in WA

Practice address

832 Park Ave
Prosser, WA 99350-1221

Phone

(509) 786-2020

NPI assigned

Feb 23, 2024

Last updated

Jul 23, 2026By 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

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": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1417713801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 PARK AVE",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993501221",
            "telephone_number": "509-786-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 PARK AVE",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993501221",
            "telephone_number": "509-786-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT SAMPLE",
        "first_name": "CAMERON",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "569493J",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Michael Hardy Jr., DPT
• Patricia Doyne Hauver, O.T.A.L.
• Healing Journey PLLC
• James Allen Hebard, MD, MPH
• Geoffrey B Higgs, MD
• Tracy L Humphreys, L.M.P.
• Stephanie I Ingvalson, PT, DPT
• Claire Jaramillo
• Ryan D Johnson
• Miechelle Keel-Fulton, PA-C

• Speech-Language Pathologist in Prosser, WA
• Providers in Prosser, 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 Jul 23, 2026; 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.