Holly Lamb Ellis, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10901 Issued in NC

Practice address

2604 Falls River Ave
Raleigh, NC 27614-9875

Phone

(252) 342-4189

NPI assigned

Jun 9, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Holly Miranda Lamb Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Holly Lamb, PLLC

  dba Raleigh Primary Pediatric Speech Therapy

  • Speech-Language Pathologist
  • Raleigh, NC
  • NPI 1891459939
  NPD Authorized official

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1821401753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 FALLS RIVER AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276149875",
            "telephone_number": "252-342-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 FALLS RIVER AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276149875",
            "telephone_number": "252-342-4189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1509 Deer Meadows Dr",
            "address_purpose": "LOCATION",
            "city": "Waxhaw",
            "state": "NC",
            "postal_code": "281737172",
            "country_code": "US",
            "telephone_number": "252-342-4189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "HOLLY",
        "middle_name": "LAMB",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "10901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821401753",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "LAMB",
            "middle_name": "MIRANDA",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Katherine Elliott, RDN, LDN
• Teresa Elizabeth Elliott, PA-C
• April Ellis
• Christy Ellis, LCSWA
• Hannah Ellis
• Hope Kaney Ellis
• Janifer Dorman Ellis, DDS
• Michael Seward Ellis, LCSW
• Ronella N Ellis, MS, LMFT
• Tangela Ellis

• Speech-Language Pathologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.