Courtney Melissa Olson, M.S. CFY-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1496 Issued in ND

Practice address

3124 Colorado LN
Bismarck, ND 58503-5447

Phone

(701) 751-5325

Fax

(701) 751-5533

NPI assigned

Jan 6, 2017

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1508302100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 COLORADO LN",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035447",
            "telephone_number": "701-751-5325",
            "fax_number": "701-751-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 COLORADO LN",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035447",
            "telephone_number": "701-751-5325",
            "fax_number": "701-751-5533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 E Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585014520",
            "country_code": "US",
            "telephone_number": "701-530-8184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "COURTNEY",
        "middle_name": "MELISSA",
        "name_prefix": "Miss",
        "credential": "M.S. CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Olsen-Petrick, LPCC
• Angela Olsen, LAPC
• Blaine Robert Olsen, D.C.
• Aaron Carroll Olson, DPM
• Alexis Olson
• Darcy Caleb Olson, M.ED., L.A.D.C.
• Emma Olson, ATC
• Janel Renee Olson, FNP-C
• Jaren Olson
• Jeffrey Ray Olson, LAC

• Speech-Language Pathologist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.