Jeanine Marie Holtsford, M.A. CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.003451 Issued in IL

Practice address

4N195 Fox Mill Blvd
Saint Charles, IL 60175-7770

Phone

(630) 587-9831

Fax

(630) 587-9832

NPI assigned

Feb 9, 2011

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1457657322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4N195 FOX MILL BLVD",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601757770",
            "telephone_number": "630-587-9831",
            "fax_number": "630-587-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4N195 FOX MILL BLVD",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601757770",
            "telephone_number": "630-587-9831",
            "fax_number": "630-587-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTSFORD",
        "first_name": "JEANINE",
        "middle_name": "MARIE",
        "credential": "M.A. CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.003451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Holcombe
• Maria Luciana Holgado-Cocjin, MD
• Trude Holli, LMFT
• Josie Anne Holly
• Nancy N Holman, DC
• Stephen Holtsford, M.D.
• Amy Hom, DVM DACVO
• Teresa L. Homan, MD
• John Landers Honcharuk, ATC
• Honey Bee Distributors, P. C.

• Speech-Language Pathologist in Saint Charles, IL
• Providers in Saint Charles, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.