Olivia Colgrove

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

026196 Issued in NY

Practice address

175 Gypsy LN
East Aurora, NY 14052-2109

Phone

(716) 597-1592

NPI assigned

Nov 3, 2015

Last updated

Oct 12, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1730552472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 GYPSY LN",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522109",
            "telephone_number": "716-597-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 GYPSY LN",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522109",
            "telephone_number": "716-597-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLGROVE",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine M Castle
• Gabrielle Catlin
• Kimberly Christensen
• Kayla Cirelli
• Rachel Clark, P.T.
• Tobias Wilson Corcoran, DDS
• Shawn Cotton, M.D.
• Council Opticians of East Aurora
• Christine A Cox, ANP
• Darci Beth Cramer, PH.D.

• Speech-Language Pathologist in East Aurora, NY
• Providers in East Aurora, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.