Individual provider Active NPI

Gracie Holsonback

  • Speech-Language Pathologist
  • Albertville, AL
National Provider Identifier
1639087794
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6192 Issued in AL
Practice address
4198 US Highway 431 Ste B
Albertville, AL 35950-0242
Phone
(256) 486-2300
Fax
(256) 486-9580
NPI assigned
Aug 31, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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 6192 AL Primary

Addresses

Primary practice location

4198 US Highway 431 Ste B
Albertville, AL 35950-0242

Mailing address

455 Roy Whitt Rd
Boaz, AL 35956-2537
Phone (256) 960-6566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1639087794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 ROY WHITT RD",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359562537",
            "telephone_number": "256-960-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4198 US HIGHWAY 431 STE B",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359500242",
            "telephone_number": "256-486-2300",
            "fax_number": "256-486-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSONBACK",
        "first_name": "GRACIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "6192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.