Active NPI
Aubrey S Holt, EDS,MCD/CCC-SLP
- Speech-Language Pathologist
- Oviedo, FL
National Provider Identifier
1720348345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA15816
- Practice address
- 1000 W Broadway St Ste 214
Oviedo, FL 32765 - Phone
- (407) 359-5693
- NPI assigned
- May 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | SA15816 | FL | Primary |
Addresses
Primary practice location
1000 W Broadway St Ste 214
Oviedo, FL 32765
Mailing address
2510 Viburnum CT
Jacksonville, FL 32246-0627
Phone (904) 616-7887
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 |
|---|---|---|---|
| SA15816 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529884800000",
"number": "1720348345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 VIBURNUM CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322460627",
"telephone_number": "904-616-7887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W BROADWAY ST STE 214",
"city": "OVIEDO",
"state": "FL",
"postal_code": "32765",
"telephone_number": "407-359-5693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "AUBREY",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "EDS,MCD/CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-17",
"last_updated": "2018-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA15816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.