Holly E Polson, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA12415 Issued in FL

Practice address

3044 Park LN Apt a
Dunedin, FL 34698-9658

Phone

(727) 455-3949

NPI assigned

Oct 13, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Holly E Mannschreck Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fox Rehabilitation Services LLC

  • Physical Therapist
  • Winchester, VA
  • NPI 1609814755
  NPD (past)

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1932484672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 PARK LN APT A",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346989658",
            "telephone_number": "727-455-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 PARK LN APT A",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346989658",
            "telephone_number": "727-455-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSON",
        "first_name": "HOLLY",
        "middle_name": "E",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005158",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hollyp1116@yahoo.com",
            "affiliation": "N",
            "address_1": "3044 Park Ln Apt A",
            "city": "Dunedin",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346989658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "MANNSCHRECK",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pinellas County Anesthesia Associates, LLC
• Pinellas County Anesthesia Associates, LLC
• James R. Pitts, D.M.D.
• Stuart Alfred Poe, D.M.D.
• Arya Pokhrel, MD
• Amy Lynn Post-Grady, DO
• Pot-Pourri Enterprises LLC (Pinellas Medical Supply)
• Sandeep K Pradhan, MD
• Precision Pulmonary LLC
• Precision Pulmonary NP, Inc. (Precision Pulmonary)

• Speech-Language Pathologist in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.