Active NPI
Brook Holdredge, CF-SLP
- Speech-Language Pathologist
- Charlotte, NC
National Provider Identifier
1720808223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30004222
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30004222 | Other | NC | NORTH CAROLINA LICENSE |
| SLP.0006506 | Other | CO | COLORADO 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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP.0006506 | CO | MD | Speech-Language Pathologist |
| 30004222 | NC | MD | Speech-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.