Jyllian Holmes

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

190 Southpark Blvd Ste 100
St Augustine, FL 32086-4209

Phone

(904) 824-1478

NPI assigned

Sep 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jyllian.holmes@brooksrehab.org

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.

• Burke Collins Therapy, Inc

  • Rehabilitation Clinic/Center
  • Jacksonville, FL
  • NPI 1306729330
  Medicare reassignment NPD
• H2 Rehabilitation Services of Florida LLC

  • Rehabilitation Clinic/Center
  • Lakewood Ranch, FL
  • NPI 1275285926
  Medicare reassignment NPD
• Burke Collins Therapy, Inc

  • Rehabilitation Clinic/Center
  • Lakewood Ranch, FL
  • NPI 1144963737
  NPD
• H2 Rehabilitation Services of Florida LLC

  • Rehabilitation Clinic/Center
  • West Melbourne, FL
  • NPI 1366269144
  NPD
• Genesis Rehabilitation Hospital, Inc.

  • Rehabilitation Hospital
  • Jacksonville, FL
  • NPI 1376114413
  NPD (past)
• Genesis Rehabilitation Hospital, Inc.

  • Rehabilitation Hospital
  • Jacksonville, FL
  • NPI 1912947748
  NPD (past)

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1457021180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9645 BAYMEADOWS RD APT 909",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567823",
            "telephone_number": "315-272-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 SOUTHPARK BLVD STE 100",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864209",
            "telephone_number": "904-824-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "JYLLIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jyllian.holmes@brooksrehab.org",
            "affiliation": "N",
            "address_1": "190 Southpark Blvd Ste 100",
            "city": "St Augustine",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320864209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daviana Hollimon
• Audrey Aline Hollinger, ED.S.
• Easton Hollister
• Diana R. Holloway, PTA
• Janice Johnson Holloway, MOT, OTR/L
• Wendy J. Holt, OTR/L, CHT
• Erin Holtz
• Kayla Lee Holtz, MS, RD, LDN
• Sharell Ann Holverson, LMHC
• Home in Mind LLC

• Speech-Language Pathologist in St Augustine, FL
• Providers in St Augustine, 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 Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.