Active NPI
Audrey Olson, MS CCC-SLP
- Speech-Language Pathologist
- Omaha, NE
National Provider Identifier
1992092241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1408
- Practice address
- 4330 S 144TH St
Omaha, NE 68137-1051 - Phone
- (402) 614-4000
- NPI assigned
- Jul 7, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1408 | NE | Primary |
Addresses
Primary practice location
4330 S 144TH St
Omaha, NE 68137-1051
Mailing address
1201 Skyline Dr
Elkhorn, NE 68022-1733
Phone (402) 640-5214
Other practice location 1
4735 S 54th St
Lincoln, NE 68516-1335
Phone (402) 488-0977
Other names 1
- Audrey Rose
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 |
|---|---|---|---|
| 1408 | NE | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1992092241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 SKYLINE DR",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680221733",
"telephone_number": "402-640-5214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 S 144TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371051",
"telephone_number": "402-614-4000"
}
],
"practiceLocations": [
{
"address_1": "4735 S 54th St",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685161335",
"country_code": "US",
"telephone_number": "402-488-0977",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLSON",
"first_name": "AUDREY",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-07",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "1408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AUDREY",
"last_name": "ROSE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.