Individual provider Active NPI

Charlotte Emily Olver, PGD LP CCC SLP

  • Speech-Language Pathologist
  • Seattle, WA
National Provider Identifier
1891820593
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00003908 Issued in WA
Practice address
1107 E Republican St Apt C
Seattle, WA 98102-5133
Phone
(206) 286-2322
Fax
(206) 286-2301
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL00003908 WA Primary

Addresses

Primary practice location

1107 E Republican St Apt C
Seattle, WA 98102-5133

Mailing address

1107 E Republican St Apt C
Seattle, WA 98102-5133
Phone (206) 286-2322

Other identifiers 2

IdentifierTypeStateIssuer
0877OLOtherWAREGENCE
7014954MedicaidWA

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

LicenseStateTypeSpecialty
LL00003908WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1891820593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E REPUBLICAN ST APT C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981025133",
            "telephone_number": "206-286-2322",
            "fax_number": "206-286-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 E REPUBLICAN ST APT C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981025133",
            "telephone_number": "206-286-2322",
            "fax_number": "206-286-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLVER",
        "first_name": "CHARLOTTE",
        "middle_name": "EMILY",
        "credential": "PGD LP CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "0877OL",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7014954",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.