Individual provider Active NPI

Courtney Taylor Holland, MA, CCC-SLP

  • Speech-Language Pathologist
  • Indianapolis, IN
National Provider Identifier
1538799531
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22006846A Issued in IN
Practice address
6437 Rucker Rd Ste D
Indianapolis, IN 46220-4868
Phone
(317) 405-9016
NPI assigned
Jan 19, 2020
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 22006846A IN Primary

Addresses

Primary practice location

6437 Rucker Rd Ste D
Indianapolis, IN 46220-4868

Mailing address

10390 E County Road 100 S
Avon, IN 46123-2733

Other practice location 1

7440 Hague Rd
Indianapolis, IN 46256-1930
Phone (317) 762-8449

Other names 1

  • Courtney Taylor Langguth Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
22006846AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Specialty Associates, Inc Speech-Language Pathologist CurrentSince Aug 28, 2022 Accepting new patients
Speakindy Speech-Language Pathologist PastSince Jan 1, 2020 Accepting new patients
Pediatric Specialty Associates, Inc PastSince Aug 28, 2022 Accepting new patients

Locations

6437 Rucker Rd
Ste D
Indianapolis, IN 46220
Phone (317) 405-4016

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1579392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1538799531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10390 E COUNTY ROAD 100 S",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461232733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6437 RUCKER RD STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204868",
            "telephone_number": "317-405-9016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7440 Hague Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462561930",
            "country_code": "US",
            "telephone_number": "317-762-8449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "COURTNEY",
        "middle_name": "TAYLOR",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-19",
        "last_updated": "2022-08-23",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22006846A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "LANGGUTH",
            "middle_name": "TAYLOR",
            "credential": "MA, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.