Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699172940 Individual Practitioner Female Practitioner

Jacquelyn Elizabeth Holman

Speech-Language Pathologist • Woodbury, MN

Professional Overview & Biography Verified Profile Summary

Jacquelyn Holman is a registered healthcare professional specializing in Speech-Language Pathologist in Woodbury, MN. Practice services are available at 721 COMMERCE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

721 Commerce Dr

Woodbury, MN 551259118

Telephone 6127677222

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Woodbury, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.7 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
80 Specialists

Practicing in Woodbury, MN (3097 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-04-13
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN 518290

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License MN 474968

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License MN 9145

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License CO 0001949

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Secondary Practice Locations

8600 Park Meadows Dr, #800

Lone Tree, CO 801242756

Phone: 3839851133

601 16th Street, Suite C #216

Golden, CO 80401

Phone: 7202957808

12250 W Kentucky Dr

Lakewood, CO 802283314

Phone: 3039829380

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Anna Schulz , MS, BCBA

Behavior Analyst

NPI 1003452632

Master of Science, Board Certified Behavior Analyst

Sarah Lynch , MS, BCBA

Behavior Analyst

NPI 1003459835

Master of Science, Board Certified Behavior Analyst

Mystic Makepeace

Behavior Technician

NPI 1003486564
Khaleda Islam

Behavior Technician

NPI 1003549676
Melissa Becerra

Behavior Technician

NPI 1003592650
Nimco Salah

Behavior Technician

NPI 1003742594

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location April 13, 2022

Registered at 721 COMMERCE DR, WOODBURY, MN 551259118 (Tel: 6127677222)

📍
Updated Business Mailing Address April 13, 2022

Registered at 721 COMMERCE DR, WOODBURY, MN 551259118 (Tel: 6127677222)

📍
Updated Practice Location January 04, 2019

Registered at 12250 W KENTUCKY DR, LAKEWOOD, CO 802283314 (Tel: 3039829380)

📍
Updated Business Mailing Address January 04, 2019

Registered at 601 16TH ST STE C216, GOLDEN, CO 804011978 (Tel: 7202957808)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2019

Speech-Language Pathologist (License #474968 in MN)

NPI Profile Active December 02, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2014

Registered at 8600 PARK MEADOWS DR, #800, LONE TREE, CO 801242756 (Tel: 3839851133)

📍
Updated Business Mailing Address December 02, 2014

Registered at 8600 PARK MEADOWS DR, #800, LONE TREE, CO 801242756 (Tel: 3839851133)

👤
Provider Name / Credentials Updated December 02, 2014

Recorded as JACQUELYN HOLMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2014

Speech-Language Pathologist (License #0001949 in CO)

🟢
Initial NPI Registration & Enumeration December 02, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1699172940
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 02, 2014
Last Update: April 13, 2022
Sole Proprietor: No

Mailing Address

721 Commerce Dr

Woodbury, MN 551259118

Phone: 6127677222

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.