Active NPI
Emmy J. Olson, B.A./SLP-A
- Speech-Language Assistant
- Valrico, FL
National Provider Identifier
1336458363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SI 1817
- Practice address
- 3117 Lithia Pinecrest Rd
Valrico, FL 33596-5632 - Phone
- (813) 662-1106
- NPI assigned
- Sep 24, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SI 1817 | FL | Primary |
| Developmental Therapist | 222Q00000X | SI 1817 | FL |
Addresses
Primary practice location
3117 Lithia Pinecrest Rd
Valrico, FL 33596-5632
Mailing address
208 Dragons Fire PL
Valrico, FL 33594-3341
Phone (813) 546-3886
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI 1817 | FL | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292544000000",
"number": "1336458363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 DRAGONS FIRE PL",
"city": "VALRICO",
"state": "FL",
"postal_code": "335943341",
"telephone_number": "813-546-3886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3117 LITHIA PINECREST RD",
"city": "VALRICO",
"state": "FL",
"postal_code": "335965632",
"telephone_number": "813-662-1106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "EMMY",
"middle_name": "J.",
"name_prefix": "Ms.",
"credential": "B.A./SLP-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-24",
"last_updated": "2010-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI 1817",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": "SI 1817",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valrico, FL
- Emily Paige Mitchell O'Brien, MA, CCC-SLP
- Mary Ellen O'Brien, SLP-A
- Ethan O'Hearn, PTA
- Kevin Reinier Ochoa Casas, M.S., BCBA
- Cynthia Odukomaiya
- Elsie Aimee Orellano Laureano, PH.D.,RDN,LMT,CSOWM
- Ismael Ortiz Jr., PTA
- Melissa Ortiz, LMT, PTA
- Daniela De Jesus Osoria Lobaina
- Jessica Ellen Ospina, APRN-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.