Jacquelyn Elizabeth Holman

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

518290 Issued in MN

Practice address

721 Commerce Dr
Woodbury, MN 55125-9118

Phone

(612) 767-7222

NPI assigned

Dec 2, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1699172940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 COMMERCE DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259118",
            "telephone_number": "612-767-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 COMMERCE DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259118",
            "telephone_number": "612-767-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8600 Park Meadows Dr",
            "address_2": "#800",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801242756",
            "country_code": "US",
            "telephone_number": "383-985-1133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 16th Street",
            "address_2": "Suite C #216",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "80401",
            "country_code": "US",
            "telephone_number": "720-295-7808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12250 W Kentucky Dr",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802283314",
            "country_code": "US",
            "telephone_number": "303-982-9380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "JACQUELYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "474968",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9145",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0001949",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "518290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Nicole Holaday
• Sydney Holinka
• Holistic Home Care LLC
• Grace Holker, OTR/L
• Mark E Holm, MD
• Kristen Marie Holmen, MPT
• Sarah Marie Holmgren, CNM
• Amy Holmstadt
• Todd Jeramie Holter, PAC
• Lisa Jo Holtman

• Speech-Language Pathologist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.

Verify at the official NPI Registry.