Active NPI
Olivia Gettys, M.S.
- Speech-Language Pathologist
- Charleston, SC
National Provider Identifier
1902398431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6852
- Practice address
- 2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733 - Phone
- (843) 402-1000
- NPI assigned
- May 31, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2204000060 | VA | |
| Speech-Language Pathologist | 235Z00000X | 6852 | SC | Primary |
Addresses
Primary practice location
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Mailing address
87 Hoover Rd
Carlisle, PA 17015-8512
Phone (717) 448-7669
Other practice location 1
8111 Tis Well Dr
Alexandria, VA 22306-3211
Phone (703) 348-7571
Other practice location 2
9285 Medical Plaza Dr
Charleston, SC 29406-9126
Phone (843) 797-8282
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6852 | SC | MD | Pharmacist |
| 2204000060 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558224000000",
"number": "1902398431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 HOOVER RD",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170158512",
"telephone_number": "717-448-7669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2095 HENRY TECKLENBURG DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145733",
"telephone_number": "843-402-1000"
}
],
"practiceLocations": [
{
"address_1": "8111 Tis Well Dr",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223063211",
"country_code": "US",
"telephone_number": "703-348-7571",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9285 Medical Plaza Dr",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294069126",
"country_code": "US",
"telephone_number": "843-797-8282",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GETTYS",
"first_name": "OLIVIA",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-31",
"last_updated": "2019-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2204000060",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "6852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.