Active NPI
Holly Routh Smith, MA, CCC-SLP
- Speech-Language Pathologist
- Mooresville, NC
National Provider Identifier
1689648289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6812
- Practice address
- 484 Williamson Rd Ste 102
Mooresville, NC 28117-8191 - Phone
- (704) 746-9698
- NPI assigned
- Feb 13, 2006
- 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 | 6812 | NC | Primary |
Addresses
Primary practice location
484 Williamson Rd Ste 102
Mooresville, NC 28117-8191
Mailing address
484 Williamson Rd Ste 102
Mooresville, NC 28117-8191
Phone (704) 746-9688
Other practice location 1
364 S Hwy 16
Ste 100
Stanley, NC 28164
Phone (704) 746-9698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7412424 | Medicaid | NC |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6812 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Norman Communication Services, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Speakability, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Locations
484 Williamson Rd
Ste 102
Mooresville, NC 28117
Phone (704) 293-6552
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Mooresville, NC
- NPI 1467908368
Speech-Language Pathologist
-
- Speech-Language Pathologist
- Mooresville, NC
- NPI 1548233471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1689648289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "484 WILLIAMSON RD STE 102",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178191",
"telephone_number": "704-746-9688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 WILLIAMSON RD STE 102",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178191",
"telephone_number": "704-746-9698"
}
],
"practiceLocations": [
{
"address_1": "364 S Hwy 16",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Stanley",
"state": "NC",
"postal_code": "28164",
"country_code": "US",
"telephone_number": "704-746-9698",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "HOLLY",
"middle_name": "ROUTH",
"name_prefix": "Ms.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2024-05-24",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "6812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7412424",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.