Active NPI
Olivia Watts, MA CCC-SLP
- Speech-Language Pathologist
- Columbus, OH
National Provider Identifier
1902453194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.14082
- Practice address
- 5220 N High St
Columbus, OH 43214-1240 - Phone
- (614) 752-1359
- NPI assigned
- Aug 22, 2019
- 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 | COND.2019950-SP | OH | |
| Speech-Language Pathologist | 235Z00000X | SP.14082 | OH | Primary |
Addresses
Primary practice location
5220 N High St
Columbus, OH 43214-1240
Mailing address
4541 Hilliard Run Dr
Hilliard, OH 43026-8998
Phone (937) 241-7309
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COND.2019950-SP | OH | MD | Speech-Language Pathologist |
| SP.14082 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1902453194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4541 HILLIARD RUN DR",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430268998",
"telephone_number": "937-241-7309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5220 N HIGH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432141240",
"telephone_number": "614-752-1359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "OLIVIA",
"credential": "MA CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-22",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "COND.2019950-SP",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.14082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.