Active NPI
Amber Holliday, SLP
- Speech-Language Pathologist
- Albuquerque, NM
National Provider Identifier
1740737352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6277
- Practice address
- 6832 Vista Terraza Dr NW
Albuquerque, NM 87120 - Phone
- (505) 710-1626
- NPI assigned
- Sep 1, 2016
- 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 | C-6072 | NM | |
| Speech-Language Pathologist | 235Z00000X | 6277 | NM | Primary |
Addresses
Primary practice location
6832 Vista Terraza Dr NW
Albuquerque, NM 87120
Mailing address
6832 Vista Terraza Dr NW
Albuquerque, NM 87120-3795
Phone (505) 710-1626
Other practice location 1
6400 Uptown Blvd NE
Suite 360W
Albuquerque, NM 87110
Phone (505) 855-9805
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 |
|---|---|---|---|
| 6277 | NM | MD | Pharmacotherapy Pharmacist |
| C-6072 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1740737352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6832 VISTA TERRAZA DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871203795",
"telephone_number": "505-710-1626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6832 VISTA TERRAZA DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87120",
"telephone_number": "505-710-1626"
}
],
"practiceLocations": [
{
"address_1": "6400 Uptown Blvd NE",
"address_2": "Suite 360W",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "87110",
"country_code": "US",
"telephone_number": "505-855-9805",
"fax_number": "505-848-9468",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLIDAY",
"first_name": "AMBER",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "C-6072",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "6277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.