Individual provider
OLIVIA CONRAD, MS CCC-SLP
CMS NPPES lists OLIVIA CONRAD as an individual provider record with NPI 1376923169. The current record reports a primary practice location in ALACHUA, FL and primary taxonomy code 235Z00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location12420 NW 137TH TERALACHUA, FL 326157197
- Additional practice location633 W 5th St # 2876BLos Angeles, CA 900712005
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
235Z00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- June 5, 2015
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.