Active NPI
Karen Ann Olsavsky, SLPA
- Speech-Language Assistant
- Lake Havasu City, AZ
National Provider Identifier
1275853871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 1190
- Practice address
- 1515 Lake Havasu Ave N Ste 100
Lake Havasu City, AZ 86404-1177 - Phone
- (928) 854-5439
- Fax
- (928) 854-5440
- NPI assigned
- Jun 4, 2010
- 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 Assistant | 2355S0801X | 1190 | CA | Primary |
Addresses
Primary practice location
1515 Lake Havasu Ave N Ste 100
Lake Havasu City, AZ 86404-1177
Mailing address
612 Wayside Dr
Lake Havasu City, AZ 86403-3865
Phone (928) 554-6892
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 |
|---|---|---|---|
| 1190 | CA | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302566400000",
"number": "1275853871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 WAYSIDE DR",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864033865",
"telephone_number": "928-554-6892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 LAKE HAVASU AVE N STE 100",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864041177",
"telephone_number": "928-854-5439",
"fax_number": "928-854-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSAVSKY",
"first_name": "KAREN",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "SLPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-04",
"last_updated": "2011-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "1190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Havasu City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.