Active NPI
Carolyn Holley, MS,CCC-SLP
- Speech-Language Pathologist
- Irving, TX
National Provider Identifier
1811129455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 105226
- Practice address
- 350 Decker Drive Suite 100
Irving, TX 75062 - Phone
- (972) 739-6070
- NPI assigned
- Aug 16, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 105226 | TX | Primary |
Addresses
Primary practice location
350 Decker Drive Suite 100
Irving, TX 75062
Mailing address
1912 Strait LN
Flower Mound, TX 75028-4276
Phone (817) 721-9286
Other names 1
- Miss Carolyn Hopkins
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105226 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1811129455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1912 STRAIT LN",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750284276",
"telephone_number": "817-721-9286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 DECKER DRIVE SUITE 100",
"city": "IRVING",
"state": "TX",
"postal_code": "75062",
"telephone_number": "972-739-6070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLEY",
"first_name": "CAROLYN",
"name_prefix": "Mrs.",
"credential": "MS,CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "105226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLYN",
"last_name": "HOPKINS",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.