Active NPI
Olivia Nicole Lewallen
- Speech-Language Pathologist
- Saint Albans, VT
National Provider Identifier
1780432815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 144.0134867
- Practice address
- 110 Fairfax Rd
Saint Albans, VT 05478-6299 - Phone
- (802) 752-1600
- NPI assigned
- May 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 144.0134867 | VT | Primary |
Addresses
Primary practice location
110 Fairfax Rd
Saint Albans, VT 05478-6299
Mailing address
110 Fairfax Rd
Saint Albans, VT 05478-6299
Phone (802) 752-1600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144.0134867 | VT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1780432815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 FAIRFAX RD",
"city": "SAINT ALBANS",
"state": "VT",
"postal_code": "054786299",
"telephone_number": "802-752-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 FAIRFAX RD",
"city": "SAINT ALBANS",
"state": "VT",
"postal_code": "054786299",
"telephone_number": "802-752-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWALLEN",
"first_name": "OLIVIA",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-13",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VT",
"license": "144.0134867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Albans, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.