Holly Mouton

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

109681 Issued in TX

Practice address

2000 S Ih 35
Ste. L-2
Round Rock, TX 78681-6900

Phone

(512) 388-8904

Fax

(512) 287-4214

NPI assigned

Dec 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jacqueline Kozak

  • Occupational Medicine Clinic/Center
  • Georgetown, TX
  • NPI 1699482448
  NPD
• Allied Therapies of Texas, PLLC

  • Multi-Specialty Clinic/Center
  • Copperas Cove, TX
  • NPI 1164009254
  NPD (past)

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1437394871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S IH 35",
            "address_2": "STE. L-2",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786816900",
            "telephone_number": "512-388-8904",
            "fax_number": "512-287-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S IH 35",
            "address_2": "STE. L-2",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786816900",
            "telephone_number": "512-388-8904",
            "fax_number": "512-287-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUTON",
        "first_name": "HOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8232",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "109681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larissa Catherine Mosley, PT
• Julie Moss
• Shawna Moss, LCSW
• Cassidy Mottola, CAA
• Brandy Anne Mounts, MED, LPC
• Julie Lynn Mowad, MS, SLP
• Taylor A Moyer
• MPN Pharmacy MGT LLC (Texan Pharmacy)
• Mubashar Munir MD PA
• Tara R Mudambi, M.D.

• Speech-Language Pathologist in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.