Kristian Olson

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SI2632 Issued in FL

Practice address

904 Lee Blvd
Unit 106
Lehigh Acres, FL 33936-4953

Phone

(239) 674-9374

Fax

(239) 491-3057

NPI assigned

Aug 25, 2015

Last updated

Aug 25, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Wee Playtherapy PLLC

  • Speech-Language Pathologist
  • Lehigh Acres, FL
  • NPI 1851647770
  NPD (past)

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1548637648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 LEE BLVD",
            "address_2": "UNIT 106",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364953",
            "telephone_number": "239-674-9374",
            "fax_number": "239-491-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 LEE BLVD",
            "address_2": "UNIT 106",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364953",
            "telephone_number": "239-674-9374",
            "fax_number": "239-491-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KRISTIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI2632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006236000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yamilet Oliver Rivero
• Yasmin Oliver
• Maylin Olivera Gamez
• Olokun Home Services Corp
• Carol Lee Olson, M.S.-SLP
• Omahealth Services
• On Time Home Health Care Inc
• Onsite Mobile Lab Services LLC
• Optimum Home Health Care
• Optimum Rehabilitation Specialists

• Speech-Language Assistant in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Speech-Language Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.