Morgan Nicole Holst, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.012867 Issued in IL

Practice address

725 W Main St
Mt Zion, IL 62549-1335

Phone

(217) 864-9435

NPI assigned

Sep 14, 2017

Last updated

Apr 17, 2018By 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

Other identifiers 2

Other names 1

• Ms. Morgan Nicole Price Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1609395250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 S 70TH ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625218742",
            "telephone_number": "309-533-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W MAIN ST",
            "city": "MT ZION",
            "state": "IL",
            "postal_code": "625491335",
            "telephone_number": "217-864-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLST",
        "first_name": "MORGAN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.012867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "14157474",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATIONS",
            "identifier": "146.012867",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGAN",
            "last_name": "PRICE",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "credential": "MS CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason Hendershot
• Shawn Hendershot, PTA
• Jessica M Hentrich
• Heritage Manor - Mt. Zion, L.L.C. (Heritage Health)
• Heritage Manor - Mt. Zion, LLC (Heritage Health - Mt. Zion)
• International Eyecare Center Inc
• Jac Stores Inc (Sav Mor Pharmacy)
• Carly Morgan Johnson, R.D.
• Kevin Douglas Johnston, DC
• Brittany Keck-Flory, DMD

• Speech-Language Pathologist in Mt Zion, IL
• Providers in Mt Zion, IL by specialty
• Speech-Language Pathologist in Illinois

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

Verify at the official NPI Registry.