Individual provider Active NPI

Renee Holland, MS CCC-SLP

  • Speech-Language Pathologist
  • Greenwich, CT
National Provider Identifier
1801049564
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
006491-1 Issued in NY
Practice address
193 Hamilton Ave
Unit 18
Greenwich, CT 06830-6105
Phone
(203) 625-7003
Fax
(203) 629-1989
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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 006491-1 NY Primary
Speech-Language Pathologist 235Z00000X 001024 CT

Addresses

Primary practice location

193 Hamilton Ave
Unit 18
Greenwich, CT 06830-6105

Mailing address

193 Hamilton Ave
Unit 18
Greenwich, CT 06830-6105
Phone (203) 625-7003

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
006491-1NYMDPediatric Occupational Therapist
001024CTMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1801049564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 HAMILTON AVE",
            "address_2": "UNIT 18",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306105",
            "telephone_number": "203-625-7003",
            "fax_number": "203-629-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 HAMILTON AVE",
            "address_2": "UNIT 18",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306105",
            "telephone_number": "203-625-7003",
            "fax_number": "203-629-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "006491-1",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "001024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.