Active NPI
Erin Nicole Holby, M.S., CCC-SLP
- Speech-Language Pathologist
- Forty Fort, PA
National Provider Identifier
1619620184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL015727
- Practice address
- Wyoming Valley Children's Association
1133 Wyoming Ave
Forty Fort, PA 18704 - Phone
- (570) 714-1246
- NPI assigned
- Feb 3, 2022
- Last updated
- Dec 17, 2024
- 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 | SL015727 | PA | Primary |
Addresses
Primary practice location
Wyoming Valley Children's Association
1133 Wyoming Ave
Forty Fort, PA 18704
Mailing address
Wyoming Valley Children's Association
1133 Wyoming Ave
Forty Fort, PA 18704
Phone (570) 714-1246
Other names 1
- Erin Nicole Muldoon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyoming Valley Childrens Association | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1133 Wyoming Ave
Kingston, PA 18704
Phone (570) 714-1246
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Forty Fort, PA
- NPI 1639213473
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1619620184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WYOMING VALLEY CHILDREN'S ASSOCIATION",
"address_2": "1133 WYOMING AVE",
"city": "FORTY FORT",
"state": "PA",
"postal_code": "18704",
"telephone_number": "570-714-1246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WYOMING VALLEY CHILDREN'S ASSOCIATION",
"address_2": "1133 WYOMING AVE",
"city": "FORTY FORT",
"state": "PA",
"postal_code": "18704",
"telephone_number": "570-714-1246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBY",
"first_name": "ERIN",
"middle_name": "NICOLE",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-03",
"last_updated": "2024-12-17",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL015727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "MULDOON",
"middle_name": "NICOLE",
"credential": "M.S., CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Forty Fort, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.