Jessica Olson, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

111699 Issued in TX

Practice address

2805 Coyote Ridge Dr
Fort Worth, TX 76244-5522

Phone

(817) 905-8656

NPI assigned

Sep 25, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1474761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205385705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 COYOTE RIDGE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445522",
            "telephone_number": "817-905-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 COYOTE RIDGE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445522",
            "telephone_number": "817-905-8656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Grand Oaks Ct",
            "address_purpose": "LOCATION",
            "city": "Alvord",
            "state": "TX",
            "postal_code": "762256020",
            "country_code": "US",
            "telephone_number": "940-577-4550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JESSICA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Garrett Oliver, PHARMD
• Tori Olmos, LCSW
• Olney-Hamilton Hospital District
• Ozioma Njideka Olowu, PHARMD
• Cami Olson
• Michelle Olson, PA
• Paula Esther Olson, P.A.
• Benjamin A. Olsson, DO
• Mark Oltermann, MD
• Timothy P Oltersdorf, MD

• Speech-Language Pathologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.