Organization Active NPI

Fundamental Speech Therapy

  • Speech-Language Pathologist
  • Nashville, TN
National Provider Identifier
1083342620
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
FUNDAMENTAL SPEECH THERAPY
Practice address
7049 Sunnywood Dr
Nashville, TN 37211-8624
Phone
(305) 788-1739
NPI assigned
Aug 11, 2022
Last updated
Jun 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Authorized official

Name
Melissa Oliva, MS, CCC-SLPNPI 1396102216
Title
Speech Language Pathologist
Phone
(305) 788-1739

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

7049 Sunnywood Dr
Nashville, TN 37211-8624

Mailing address

6688 Nolesville Road
Ste 108-133
Brentwood, TN 37027-8833
Phone (615) 348-9991

National Provider Directory

National Provider Directory

Locations

6688 Nolensville Rd
Ste 108133
Brentwood, TN 37027

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1083342620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6688 NOLESVILLE ROAD",
            "address_2": "STE 108-133",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278833",
            "telephone_number": "615-348-9991",
            "fax_number": "615-616-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7049 SUNNYWOOD DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372118624",
            "telephone_number": "305-788-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNDAMENTAL SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "OLIVA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "305-788-1739",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.