Active NPI
Olesya Alexandra Buck
- Speech-Language Pathologist
- Morgantown, WV
National Provider Identifier
1063941003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1942
- Practice address
- 1129 Andrew Dr
Morgantown, WV 26508-6842 - Phone
- (917) 981-9203
- NPI assigned
- Jun 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0707 | ||
| Speech-Language Pathologist | 235Z00000X | 1942 | WV | Primary |
Addresses
Primary practice location
1129 Andrew Dr
Morgantown, WV 26508-6842
Mailing address
1129 Andrew Dr
Morgantown, WV 26508-6842
Other practice location 1
255 Sunbridge Dr
Salem, WV 26426-8400
Phone (304) 782-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1942 | WV | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1063941003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1129 ANDREW DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265086842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1129 ANDREW DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265086842",
"telephone_number": "917-981-9203"
}
],
"practiceLocations": [
{
"address_1": "255 Sunbridge Dr",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "WV",
"postal_code": "264268400",
"country_code": "US",
"telephone_number": "304-782-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCK",
"first_name": "OLESYA",
"middle_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-05",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": "0707",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WV",
"license": "1942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.