Tracy Olkonen, MA-CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3925-154 Issued in WI

Practice address

502 Copper St Ste 2
Hurley, WI 54534-1386

Phone

(715) 561-2191

NPI assigned

Dec 9, 2013

Last updated

Dec 9, 2013By 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 Iron

  • Public Health or Welfare Agency
  • Hurley, WI
  • NPI 1659413441
  NPD (past)
• County of Iron

  • Community/Behavioral Health Agency
  • Hurley, WI
  • NPI 1790901627
  NPD (past)

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1487085981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N8940 VAN BUSKIRK RD",
            "city": "IRONWOOD",
            "state": "MI",
            "postal_code": "499389307",
            "telephone_number": "715-862-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 COPPER ST STE 2",
            "city": "HURLEY",
            "state": "WI",
            "postal_code": "545341386",
            "telephone_number": "715-561-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLKONEN",
        "first_name": "TRACY",
        "credential": "MA-CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3925-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Musch, PTA
• Northwoods Family Orthopaedics S.C.
• Northwoods Family Orthopaedics, S.C.
• Ifeoma F Nwoye, MD
• Grady O'Neill, MA
• Erik N Overby, B.S. PHARM
• Valerie Marie Rajala
• Roberta Ross, RDH
• Lea Ann Schroeter, MD
• Sky View Nursing Center LLC

• Speech-Language Pathologist in Hurley, WI
• Providers in Hurley, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.