Individual provider Active NPI

Olivia Alyzza Ruiz, M.S., SLP-INTERN

  • Speech-Language Pathologist
  • West Lake Hills, TX
National Provider Identifier
1497314967
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
115595 Issued in TX
Practice address
5000 Bee Caves Rd Ste 206
West Lake Hills, TX 78746-5552
Phone
(512) 284-8964
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 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 115595 TX Primary

Addresses

Primary practice location

5000 Bee Caves Rd Ste 206
West Lake Hills, TX 78746-5552

Mailing address

5000 Bee Caves Rd Ste 206
West Lake Hills, TX 78746-5552
Phone (512) 284-8964

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
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Mlee-SLP, LLC Speech-Language Pathologist PastSince Jul 17, 2022 Accepting new patients
Mlee SLP LLC Speech-Language Pathologist PastSince Jun 5, 2022 Accepting new patients

Organizations & group practices 2

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1497314967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BEE CAVES RD STE 206",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465552",
            "telephone_number": "512-284-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BEE CAVES RD STE 206",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465552",
            "telephone_number": "512-284-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "OLIVIA",
        "middle_name": "ALYZZA",
        "credential": "M.S., SLP-INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.