Individual provider Active NPI

Olivia Mary Alexandra Brown, M.S. CF-SLP

  • Speech-Language Pathologist
  • Clayton, MO
National Provider Identifier
1225648546
Registry record updated Aug 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2020022907 Issued in MO
Practice address
950 Francis PL Ste 115
Clayton, MO 63105-2465
Phone
(314) 644-1978
NPI assigned
Aug 1, 2020
Last updated
Aug 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2020022907 MO Primary

Addresses

Primary practice location

950 Francis PL Ste 115
Clayton, MO 63105-2465

Mailing address

1126 Town and Four Parkway Dr
Creve Coeur, MO 63141-6227
Phone (702) 677-5919

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2020022907MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Professionals Inc Speech-Language Pathologist CurrentSince Feb 1, 2024 Accepting new patients

Locations

950 Francis Pl
Ste 115
Saint Louis, MO 63105
Phone (314) 227-9641

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596240000000",
    "number": "1225648546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 TOWN AND FOUR PARKWAY DR",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416227",
            "telephone_number": "702-677-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 FRANCIS PL STE 115",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631052465",
            "telephone_number": "314-644-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "OLIVIA",
        "middle_name": "MARY ALEXANDRA",
        "credential": "M.S. CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-01",
        "last_updated": "2020-08-01",
        "certification_date": "2020-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2020022907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2020; 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.