Individual provider Active NPI

Olivia Hecker, CF-SLP

  • Speech-Language Pathologist
  • Knoxville, TN
National Provider Identifier
1336795582
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5912 Issued in TN
Practice address
9041 Executive Park Dr
Knoxville, TN 37923-4621
Phone
(865) 693-5622
Fax
(865) 769-0801
NPI assigned
Aug 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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 5912 TN Primary

Addresses

Primary practice location

9041 Executive Park Dr
Knoxville, TN 37923-4621

Mailing address

9041 Executive Park Dr
Knoxville, TN 37923-4621
Phone (820) 794-4374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220425000831 TN Practitioner - Qualified Speech Language Pathologist 4486041316 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6781TNMDPharmacist
5912TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Tennessee CurrentSince Mar 25, 2022 Accepting new patients
University of Tennessee Speech-Language Pathologist CurrentSince Mar 25, 2022 Accepting new patients
University of Tennessee Current Accepting new patients

Locations

600 Henley St
Ste 213
Knoxville, TN 37996
Phone (865) 974-5453

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1336795582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 EXECUTIVE PARK DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234621",
            "telephone_number": "820-794-4374",
            "fax_number": "865-769-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9041 EXECUTIVE PARK DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234621",
            "telephone_number": "865-693-5622",
            "fax_number": "865-769-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKER",
        "first_name": "OLIVIA",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "5912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.

Verify at the official NPI Registry.