Individual provider Active NPI

Karen Ann Olsavsky, SLPA

  • Speech-Language Assistant
  • Lake Havasu City, AZ
National Provider Identifier
1275853871
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
1190 Issued in CA
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

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1190CAMDOther 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.

Verify at the official NPI Registry.