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Ashley Lauren Holtan , MS, CCC-SLP

Speech-Language Pathologist β€’ Thief River Falls, MN

Active NPI 1033603683 Individual Practitioner Female Practitioner
Practice location in NPPES

120 Labree Ave S
Thief River Falls, MN 567012819

Call 2186834351 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

120 Labree Ave S

Thief River Falls, MN 567012819

Telephone 2186834351
Organization at the Same NPPES Address or Phone
Sanford Medical Center Thief River Falls Facility NPI 1063564144

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Thief River Falls, MN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Ashley Holtan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Thief River Falls and Minnesota

4 active clinicians are listed under Speech-Language Pathologist with a practice address in Thief River Falls, MN (3,083 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MN 9117

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20181106000609

Enrollment State Jurisdiction

MN

PECOS Control ID

3971856154

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

3001 Sanford Pkwy

Thief River Falls, MN 567012700

Phone: 2186834185

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
NPI 1801033824

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Carol Johnson , BS, LSW

Social Worker - Clinical

NPI 1578956702

Bachelor of Science, Licensed Social Worker

Amelia Ladd , MS

Psychologist

NPI 1427422815

Master of Science

NPI 1023685138

Advanced Practice Registered Nurse

Jason Nupdal , NP-C

Nurse Practitioner - Psychiatric/Mental Health

NPI 1881625150

Nurse Practitioner (Certified)

Jennifer Porter , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1770103129

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location October 16, 2019

Registered at 120 LABREE AVE S, THIEF RIVER FALLS, MN 567012819 (Tel: 2186834351)

πŸ“
Updated Business Mailing Address October 16, 2019

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074 (Tel: 7013611913)

βœ…
NPI Profile Active June 18, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 18, 2018

Registered at 3001 SANFORD PKWY, THIEF RIVER FALLS, MN 567012700 (Tel: 2186834185)

πŸ“
Business Mailing Address (Initial Record) June 18, 2018

Registered at 3001 SANFORD PKWY, THIEF RIVER FALLS, MN 567012700 (Tel: 7013611913)

πŸ‘€
Provider Name / Credentials (Initial Record) June 18, 2018

Recorded as ASHLEY HOLTAN, MS, CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2018

Speech-Language Pathologist (license number reported to NPPES: MN 9117)

🟒
Initial NPI Registration & Enumeration June 18, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1033603683
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2018
Last Update: October 16, 2019
Sole Proprietor: Yes

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

Phone: 7013611913

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.