Katrina Ellen Olle

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP7406 Issued in AZ

Practice address

2140 E Virginia Ave
Phoenix, AZ 85006-1324

Phone

(602) 381-6120

NPI assigned

Sep 1, 2011

Last updated

Sep 1, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• County of Maricopa Creighton Elementary School

  • Local Education Agency (LEA)
  • Phoenix, AZ
  • NPI 1568508570
  NPD (past)
• Creighton School District

  • Local Education Agency (LEA)
  • Phoenix, AZ
  • NPI 1114251022
  NPD (past)

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1346521515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 E FLOWER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167461",
            "telephone_number": "602-381-6018",
            "fax_number": "602-381-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 E VIRGINIA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061324",
            "telephone_number": "602-381-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLE",
        "first_name": "KATRINA",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP7406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Jerome Oliverius, MD
• Moninia Sianghio Oliveros, R.D.
• Christina Olivetti, OD
• Myshel Olivier, LCSW
• Katilyn Olkes
• Julianne Olloren
• Jacqueline A Olmert, M.D.
• Araceli Olmos
• Kristen Olmschenk, FNP
• Kay Lynn Olmsted, APRN

• Speech-Language Pathologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.