Olivia Anderson-Lane

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01097039 Issued in MI

Practice address

41980 Cherry Hill Rd
Novi, MI 48375

Phone

(248) 470-2475

NPI assigned

Dec 13, 2013

Last updated

Dec 13, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1164843314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41980 CHERRY HILL RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752505",
            "telephone_number": "248-470-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41980 CHERRY HILL RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48375",
            "telephone_number": "248-470-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON-LANE",
        "first_name": "OLIVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "01097039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "01097039",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandrine Akwi Anapa
• Marileide Andersen
• Willow Andersen
• Laura Christine Anderson-Campbell
• Cierra Anderson-Craig
• Abraham Anderson
• Alisha Anderson
• Audrianna Anderson
• Austin Anderson
• Autumn Anderson, AT, ATC

• Speech-Language Pathologist in Novi, MI
• Providers in Novi, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.