Individual provider Active NPI

Melissa Oliva

  • Speech-Language Pathologist
  • Nashville, TN
National Provider Identifier
1396102216
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7080 Issued in TN
Practice address
7049 Sunnywood Dr
Nashville, TN 37211-8624
Phone
(305) 788-1739
NPI assigned
Jan 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7080 TN Primary
Speech-Language Pathologist 235Z00000X SA15449 FL

Addresses

Primary practice location

7049 Sunnywood Dr
Nashville, TN 37211-8624

Mailing address

7049 Sunnywood Dr
Nashville, TN 37211-8624
Phone (305) 788-1739

Other practice location 1

925 NE 199th St
#206
Miami, FL 33179-5841
Phone (305) 788-1739

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
SA15449FLMDSpeech-Language Pathologist
7080TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fundamental Speech Therapy Speech-Language Pathologist CurrentSince Aug 14, 2022 Accepting new patients

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": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1396102216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7049 SUNNYWOOD DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372118624",
            "telephone_number": "305-788-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7049 SUNNYWOOD DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372118624",
            "telephone_number": "305-788-1739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 NE 199th St",
            "address_2": "#206",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331795841",
            "country_code": "US",
            "telephone_number": "305-788-1739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVA",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-22",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "7080",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15449",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.