Individual provider Active NPI

Brook Holdredge, CF-SLP

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1720808223
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30004222 Issued in NC
Practice address
8133 Ardrey Kell Rd Ste 104
Charlotte, NC 28277-5723
Phone
(704) 813-3104
NPI assigned
Oct 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP.0006506 CO
Speech-Language Pathologist 235Z00000X 30004222 NC Primary

Addresses

Primary practice location

8133 Ardrey Kell Rd Ste 104
Charlotte, NC 28277-5723

Mailing address

24951 E Highway 50
Pueblo, CO 81006-2027

Other practice location 1

24951 E Highway 50
Pueblo, CO 81006-2027
Phone (719) 542-1671

Other identifiers 2

IdentifierTypeStateIssuer
30004222OtherNCNORTH CAROLINA LICENSE
SLP.0006506OtherCOCOLORADO LICENSE

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

LicenseStateTypeSpecialty
SLP.0006506COMDSpeech-Language Pathologist
30004222NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1720808223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24951 E HIGHWAY 50",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810062027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8133 ARDREY KELL RD STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775723",
            "telephone_number": "704-813-3104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24951 E Highway 50",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810062027",
            "country_code": "US",
            "telephone_number": "719-542-1671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLDREDGE",
        "first_name": "BROOK",
        "credential": "CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0006506",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30004222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA LICENSE",
            "identifier": "30004222",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE",
            "identifier": "SLP.0006506",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.