Individual provider Active NPI

Holly Stertz, MS CCC-SLP

  • Speech-Language Pathologist
  • Dallas, TX
National Provider Identifier
1689950263
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
24716 Issued in TX
Practice address
2950 McKinney Ave Apt 208
Dallas, TX 75204-2487
Phone
(469) 828-2424
NPI assigned
Oct 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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 24716 TX Primary

Addresses

Primary practice location

2950 McKinney Ave Apt 208
Dallas, TX 75204-2487

Mailing address

2950 McKinney Ave Apt 208
Dallas, TX 75204-2487
Phone (469) 828-2424

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
24716TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Kids Therapy PLLC Speech-Language Pathologist 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": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1689950263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 MCKINNEY AVE APT 208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042487",
            "telephone_number": "469-828-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 MCKINNEY AVE APT 208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042487",
            "telephone_number": "469-828-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERTZ",
        "first_name": "HOLLY",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "24716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.