Daniella Vidaurri Holland, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP7790 Issued in NM

Practice address

3001 N Thornton St
Clovis, NM 88101

Phone

(575) 769-4545

NPI assigned

Aug 14, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clovis Municipal Schools

  • Speech-Language Pathologist
  • Clovis, NM
  • NPI 1417717703
  NPD Authorized official
• Clovis Municipal Schools

  • Early Intervention Provider Agency
  • Clovis, NM
  • NPI 1821858101
  NPD Authorized official

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1487053526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 N THORNTON STREET",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881019998",
            "telephone_number": "575-769-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N THORNTON ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "88101",
            "telephone_number": "575-769-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "DANIELLA",
        "middle_name": "VIDAURRI",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SLP7790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cora Lynn Hogan
• Taylor Courtney Hoge, PHARMD
• Keith Rudolph Hoke
• Jamie Holden
• Krystal S Holden
• Julia N Holland
• Terra Holland
• Rulon B Holman, CRNA
• Jennifer Elaine Holmes
• Rhonda Holt, LMSW

• All providers in Clovis, NM
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.