Individual provider Active NPI

Allison Colleen Holmberg, M.S. CCC-SLP/A

  • Audiologist
  • Northampton, MA
National Provider Identifier
1811124696
Registry record updated Jun 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
486 Issued in MA
Practice address
243 King St Ste 105
Northampton, MA 01060
Phone
(413) 586-9572
NPI assigned
Jun 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2018

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 3388 MA
Audiologist 231H00000X 486 MA Primary

Addresses

Primary practice location

243 King St Ste 105
Northampton, MA 01060

Mailing address

243 King St Ste 105
Northampton, MA 01060-2367
Phone (413) 586-9572

Other practice location 1

47 Round Hill Rd
Northampton, MA 01060-2123
Phone (413) 582-1170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150610002022 MA Practitioner - Qualified Speech Language Pathologist 2567783921 Reassigns benefits to 1 organization
I20150610002097 MA Practitioner - Qualified Audiologist 2567783921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hampshire Hearing and Speech Services LLCGroup PAC ID 9032430491, 3 clinicians

Practice addresses (Care Compare)

243 King St
Northampton, MA 01060-2367
Phone (413) 586-9572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
486MAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hampshire Hearing Services, LLC PastSince Mar 29, 2015 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529712000000",
    "number": "1811124696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 KING ST STE 105",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602367",
            "telephone_number": "413-586-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 KING ST STE 105",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "01060",
            "telephone_number": "413-586-9572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Round Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Northampton",
            "state": "MA",
            "postal_code": "010602123",
            "country_code": "US",
            "telephone_number": "413-582-1170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMBERG",
        "first_name": "ALLISON",
        "middle_name": "COLLEEN",
        "credential": "M.S. CCC-SLP/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2018-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "3388",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.