Active NPI
Patricia Ann Holloway, SLP, M.C.D.,CCC-SLP
- Speech-Language Pathologist
- Sikeston, MO
National Provider Identifier
1568035020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 104232
- Practice address
- 1102 Sikes Ave
Sikeston, MO 63801-5021 - Phone
- (573) 380-2024
- Fax
- (573) 471-3884
- NPI assigned
- Jul 22, 2021
- 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 | 104232 | MO | Primary |
Addresses
Primary practice location
1102 Sikes Ave
Sikeston, MO 63801-5021
Mailing address
PO Box 1935
Sikeston, MO 63801-6235
Phone (573) 380-2024
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pholloway@hfrehab.com | Direct |
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 |
|---|---|---|---|
| 104232 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Facilities Rehab Services Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Sikeston, MO
- NPI 1720003551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1568035020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1935",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638016235",
"telephone_number": "573-380-2024",
"fax_number": "573-471-3884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 SIKES AVE",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638015021",
"telephone_number": "573-380-2024",
"fax_number": "573-471-3884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOWAY",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "SLP, M.C.D.,CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-22",
"last_updated": "2021-07-22",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "104232",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pholloway@hfrehab.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1102 Sikes Ave",
"city": "Sikeston",
"state": "MO",
"country_code": "US",
"postal_code": "638015021",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sikeston, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.