Olivia Brooke Gaines, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7944 Issued in TN

Practice address

5817 Hwy 412 S
Bells, TN 38006-3974

Phone

(731) 697-0586

NPI assigned

Apr 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Honey in the Rock, LLC

  • Hearing and Speech Clinic/Center
  • Bells, TN
  • NPI 1659146926
  NPD

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1932953239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PECAN ST",
            "city": "ALAMO",
            "state": "TN",
            "postal_code": "380011403",
            "telephone_number": "731-592-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5817 HWY 412 S",
            "city": "BELLS",
            "state": "TN",
            "postal_code": "380063974",
            "telephone_number": "731-697-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "OLIVIA",
        "middle_name": "BROOKE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "7944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April R Downing, FNP, APN
• Downtown Medical Clinic PLLC
• Neena Lyn Elmore, M.S. CCC-SLP
• Herschel J. Gaddy III, DMD
• Olivia Hart Gaddy
• Glenn R Bonifield Jr
• Chinue Sauda Greenhill
• Greg N Grobmyer, D.D.S.
• Carol C Haynes, FND MSN
• Honey in the Rock, LLC

• All providers in Bells, TN
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.