Holly Nicole Stewart, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202004307 Issued in VA

Practice address

797 Woodland Dr
Ste 102
Stuart, VA 24171-5132

Phone

(276) 694-0124

Fax

(276) 694-0125

NPI assigned

Apr 17, 2008

Last updated

Jan 23, 2017By the provider in NPPES

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

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Acme Therapies Co

  • Speech-Language Pathologist
  • Martinsville, VA
  • NPI 1417475898
  Medicare reassignment

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1487828760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 GEORGE TAYLOR RD",
            "city": "SPENCER",
            "state": "VA",
            "postal_code": "241653319",
            "telephone_number": "276-957-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 WOODLAND DR",
            "address_2": "STE 102",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241715132",
            "telephone_number": "276-694-0124",
            "fax_number": "276-694-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "HOLLY",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202004307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santera Rehabilitation, Inc
• Elizabeth Ann Shockley, NP
• Jane L Sirkel, LPC
• Staci Ficarrotto Soper, M.S. CCC-SLP
• Specialty Clinic (PCH Operations, LLC dba R.J. Reynolds-Patrick County Memorial Hospital)
• Stuart Community Hospital Inc
• Stuart Community Hospital Inc
• Stuart Community Hospital Inc
• Angela Tallman, LPC
• Dorothy Joann Tatum

• Speech-Language Pathologist in Stuart, VA
• Providers in Stuart, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.