Active NPI
Cheryl Stephanie Holloway, ASLP
- Speech-Language Assistant
- Pasadena, TX
National Provider Identifier
1649906165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 33741
- Practice address
- 4410 Crenshaw Rd
Pasadena, TX 77504-3629 - Phone
- (713) 740-0390
- Fax
- (713) 740-4156
- NPI assigned
- Jul 27, 2022
- 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 Assistant | 2355S0801X | 33741 | TX | Primary |
Addresses
Primary practice location
4410 Crenshaw Rd
Pasadena, TX 77504-3629
Mailing address
1515 Cherrybrook LN
Pasadena, TX 77502-4048
Phone (713) 740-0000
Other practice location 1
206 Shaver St
Pasadena, TX 77506-2097
Phone (713) 740-0310
Other practice location 2
3820 S Shaver St
South Houston, TX 77587-5206
Phone (713) 740-0350
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 |
|---|---|---|---|
| 33741 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pasadena Independent School Distric | Speech-Language Assistant | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1649906165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 CHERRYBROOK LN",
"city": "PASADENA",
"state": "TX",
"postal_code": "775024048",
"telephone_number": "713-740-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 CRENSHAW RD",
"city": "PASADENA",
"state": "TX",
"postal_code": "775043629",
"telephone_number": "713-740-0390",
"fax_number": "713-740-4156"
}
],
"practiceLocations": [
{
"address_1": "206 Shaver St",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "TX",
"postal_code": "775062097",
"country_code": "US",
"telephone_number": "713-740-0310",
"fax_number": "713-740-4085",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3820 S Shaver St",
"address_purpose": "LOCATION",
"city": "South Houston",
"state": "TX",
"postal_code": "775875206",
"country_code": "US",
"telephone_number": "713-740-0350",
"fax_number": "713-740-4155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLOWAY",
"first_name": "CHERYL",
"middle_name": "STEPHANIE",
"credential": "ASLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-27",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "33741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.