ANNA HOLZBACH (SLP) – Speech-Language Pathologist, NPI 1275790511

ANNA HOLZBACH (SLP) is a healthcare provider. based in Richmond, Virginia. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials SLP. They hold a License No. 2202005475 (VA). The NPI Number for ANNA HOLZBACH (SLP) is 1275790511

Main info

Female
18 Years Of Experience
Name
ANNA HOLZBACH (SLP)
NPI
1275790511
Phone
(804) 321-7474
Address
2924 BROOK RD
Enumeration Date
22 May 2008
Last Update Date
16 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8888552674
Graduation Year
2008 (18 years ago)
PAC ID
6103358650
Group Practice PAC ID
1850785056
Professional Enrollment ID
I20260324004362
Address ID
FL324466555MA4215XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Digital endpointsOther names

244 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in VA

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Provider Addresses for ANNA HOLZBACH (SLP)

  • Children's Hospital of Richmond at VCU Brook Road Campus, 2924, Brook Road, Richmond, Richmond City, Virginia, 23220, United States

    CHILDREN'S HOSPITAL CREDENTIALING DEPT

    RICHMOND, VA 232201215

    Phone: (804) 321-7474

    Fax: (804) 228-5210

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241022002464IQualified Speech Language PathologistVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23220)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850785056View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeMA
Occupational Therapist In Private PracticeVA
Physical Therapist In Private PracticeNC
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeDE
Occupational Therapist In Private PracticeTX
Occupational Therapist In Private PracticeVA
Physical Therapist In Private PracticeTX
Occupational Therapist In Private PracticeMA

Reviews

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Frequently asked questions

What NPI should I save for ANNA HOLZBACH (SLP)?
Save NPI 1275790511 if you need a stable reference for ANNA HOLZBACH (SLP).
Is ANNA HOLZBACH (SLP) active in the national directory?
ANNA HOLZBACH (SLP)'s public NPI profile is in an active state.
What kind of provider is ANNA HOLZBACH (SLP)?
The page reflects Speech-Language Pathologist for ANNA HOLZBACH (SLP). Clinical services aligned with this taxonomy classification.
Where is ANNA HOLZBACH (SLP)'s primary listing?
We display Richmond, Virginia because that is what the record indicates for ANNA HOLZBACH (SLP).
Is ANNA HOLZBACH (SLP) a real provider?
This page reflects official NPPES data for NPI 1275790511. Always confirm identity and privileges with the practice and licensing boards.

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