Individual provider Active NPI

Olivia C. Smith, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Montgomery, AL
National Provider Identifier
1255940441
Registry record updated Jul 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
3911 Fain CT
Montgomery, AL 36109-3811
Phone
(334) 328-6615
NPI assigned
Jul 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2022

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 Primary

Addresses

Primary practice location

3911 Fain CT
Montgomery, AL 36109-3811

Mailing address

3911 Fain CT
Montgomery, AL 36109-3811
Phone (334) 328-6615

Other practice location 1

4490 Virginia Loop Rd
Montgomery, AL 36116-3448
Phone (334) 281-6826

Other practice location 2

696 Silver Hills Dr Ste 111
Prattville, AL 36066-6184
Phone (334) 730-1644

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

Practice roles

OrganizationSpecialtyStatusNew patients
Step by Step Speech Solutions, LLC Speech-Language Pathologist Current Accepting new patients
Prattville Pediatric Speech Clinic, LLC Speech-Language Pathologist PastSince Aug 1, 2020 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656806400000",
    "number": "1255940441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 FAIN CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361093811",
            "telephone_number": "334-328-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 FAIN CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361093811",
            "telephone_number": "334-328-6615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4490 Virginia Loop Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361163448",
            "country_code": "US",
            "telephone_number": "334-281-6826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "696 Silver Hills Dr Ste 111",
            "address_purpose": "LOCATION",
            "city": "Prattville",
            "state": "AL",
            "postal_code": "360666184",
            "country_code": "US",
            "telephone_number": "334-730-1644",
            "fax_number": "334-730-1645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "OLIVIA",
        "middle_name": "C.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2022-07-03",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.