Olivia Standa, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242.002805 Issued in IL

Practice address

2220 N Camino Principal Ste D
Tucson, AZ 85715-5305

Phone

(520) 800-2956

Fax

(520) 300-8092

NPI assigned

Apr 1, 2014

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1588082283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 N CAMINO PRINCIPAL STE D",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857155305",
            "telephone_number": "520-800-2956",
            "fax_number": "520-300-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 N CAMINO PRINCIPAL STE D",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857155305",
            "telephone_number": "520-800-2956",
            "fax_number": "520-300-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDA",
        "first_name": "OLIVIA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.002805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydni Leigh Stallworth
• Rhonda Stam, LMT
• Becky Stambaugh-Heller, CST, SFA
• Paul Leslie Stamer, PA-C
• Debra E Stamp, NP-C
• Cachora Standifer, BHT MRT
• Angelina Stanford, RBT
• Samantha Stanford, LMT
• Sara Stanford, MS, RD, CSSD
• Jason Stanhibel

• Speech-Language Pathologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.