Active NPI
Jennifer Terry Olivier
- Speech-Language Pathologist
- Lafayette, LA
National Provider Identifier
1255096731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6664
- Practice address
- 113 Chaplin Dr
Lafayette, LA 70508-2101 - Phone
- (337) 521-7000
- NPI assigned
- Nov 1, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6664 | LA | Primary |
Addresses
Primary practice location
113 Chaplin Dr
Lafayette, LA 70508-2101
Mailing address
105 Rio Ridge Dr
Lafayette, LA 70508-8169
Phone (337) 344-4908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236 | Medicaid | LA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords.sanford.html | ||
| Other URL | securerecords.sanford.html | Lafayette Parish School System |
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 |
|---|---|---|---|
| 6664 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1255096731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 RIO RIDGE DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705088169",
"telephone_number": "337-344-4908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 CHAPLIN DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705082101",
"telephone_number": "337-521-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVIER",
"first_name": "JENNIFER",
"middle_name": "TERRY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-01",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "6664",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "236",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "N",
"address_1": "113 Chaplin Dr",
"city": "Lafayette",
"state": "LA",
"country_code": "US",
"postal_code": "705082101",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "Y",
"affiliationName": "Lafayette Parish School System",
"address_1": "113 Chaplin Dr",
"city": "Lafayette",
"state": "LA",
"country_code": "US",
"postal_code": "705082101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.