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Olivia Conrad , MS CCC-SLP

Speech-Language Pathologist β€’ Alachua, FL

Active NPI 1376923169 Individual Practitioner Female Practitioner
Practice location in NPPES

12420 Nw 137th Ter
Alachua, FL 326157197

Call 8504189011 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12420 Nw 137th Ter

Alachua, FL 326157197

Telephone 8504189011
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Los Angeles, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2008

Years since graduation

18 years (graduated 2008)

CMS Doctors and Clinicians data list 2008 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Olivia Conrad has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Alachua and Florida

3 active clinicians are listed under Speech-Language Pathologist with a practice address in Alachua, FL (11,513 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-14
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA10241

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES CA 40506

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MI 7101009830

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES SC 6662

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20260604002543

Enrollment State Jurisdiction

CA

PECOS Control ID

4284104670

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

633 W 5th St # 2876b

Los Angeles, CA 900712005

Phone: 5123776318

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location May 06, 2026

Registered at 12420 NW 137TH TER, ALACHUA, FL 326157197 (Tel: 8504189011)

πŸ“
Updated Business Mailing Address May 06, 2026

Registered at 12420 NW 137TH TER, ALACHUA, FL 326157197 (Tel: 8504189011)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2026

Speech-Language Pathologist (license number reported to NPPES: CA 40506)

πŸ“
Updated Practice Location January 29, 2019

Registered at 220 SLOANS GROVE RD, SPARTANBURG, SC 29307 (Tel: 8504189011)

πŸ“
Updated Business Mailing Address January 29, 2019

Registered at 220 SLOANS GROVE RD, SPARTANBURG, SC 293072709

βœ…
NPI Profile Active June 05, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 05, 2015

Registered at 7100 PLANTATION RD, SUITE 11, PENSACOLA, FL 325044206 (Tel: 8502283836)

πŸ“
Business Mailing Address (Initial Record) June 05, 2015

Registered at 7100 PLANTATION RD, SUITE 11, PENSACOLA, FL 325044206

πŸ‘€
Provider Name / Credentials (Initial Record) June 05, 2015

Recorded as OLIVIA CONRAD, MS CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2015

Speech-Language Pathologist (license number reported to NPPES: FL SA10241)

🟒
Initial NPI Registration & Enumeration June 05, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376923169
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2015
Last Update: May 14, 2026
Sole Proprietor: No

Mailing Address

12420 Nw 137th Ter

Alachua, FL 326157197

Phone: 8504189011

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.