Active NPI
Deborah J Olson, CCC/SLP
- Speech-Language Pathologist
- Spokane Valley, WA
National Provider Identifier
1316201023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL00002759
- Practice address
- 325 S University Rd
Spokane Valley, WA 99206-6164 - Phone
- (509) 921-9798
- Fax
- (509) 921-9774
- NPI assigned
- Jun 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | LL00002759 | WA | Primary |
Addresses
Primary practice location
325 S University Rd
Spokane Valley, WA 99206-6164
Mailing address
325 S University Rd
Spokane Valley, WA 99206-6164
Phone (509) 921-9798
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130515000246 | WA | Practitioner - Qualified Speech Language Pathologist | 5092952861 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340755200000",
"number": "1316201023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 S UNIVERSITY RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992066164",
"telephone_number": "509-921-9798",
"fax_number": "509-921-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 S UNIVERSITY RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992066164",
"telephone_number": "509-921-9798",
"fax_number": "509-921-9774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "DEBORAH",
"middle_name": "J",
"credential": "CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-27",
"last_updated": "2012-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL00002759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.