Active NPI
Heather Holley
- Speech-Language Pathologist
- Roanoke, VA
National Provider Identifier
1467950253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202008722
- Practice address
- 1802 Liberty Rd NW
Roanoke, VA 24012-4643 - Phone
- (540) 853-2994
- NPI assigned
- Jan 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202008722 | VA | Primary |
Addresses
Primary practice location
1802 Liberty Rd NW
Roanoke, VA 24012-4643
Mailing address
3406 Sunchase CT Apt 128
Roanoke, VA 24018-3164
Other practice location 1
1004 Montrose Ave SE
Roanoke, VA 24013-2504
Phone (540) 853-6040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202008722 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1467950253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3406 SUNCHASE CT APT 128",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240183164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 LIBERTY RD NW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240124643",
"telephone_number": "540-853-2994"
}
],
"practiceLocations": [
{
"address_1": "1004 Montrose Ave SE",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240132504",
"country_code": "US",
"telephone_number": "540-853-6040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLEY",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-26",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202008722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, VA
- Hayden Scott Holbrook, MD
- Zachary Eugene Holcomb, MD
- Patience Marie Holdren, BCABA, LABA
- Dwight A Holland, M.D., PH.D.
- Margaret Smith Holland, M.S.W., CSAC
- Samantha Holley, CCC-SLP
- Alex Christopher Holliday, M.D.
- Maggie Clare Holliman, EDS
- Kelli Hollingsworth, RDMS
- Hollins Communications Research Institute
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.