Active NPI
Gracie Holsonback
- Speech-Language Pathologist
- Albertville, AL
National Provider Identifier
1639087794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6192
- 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
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 | 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.