JACOB LEE OLIVER SLP
NPI 1174148936
Speech-Language Pathologist in Danville, AR

Q: What is Jacob Oliver's NPI number?

The NPI number for Jacob Oliver is 1174148936. It was assigned to this individual provider in the NPPES registry on June 8, 2020.

Q: What is Jacob Oliver's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Oliver was last updated on June 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 08, 2020

719 DETROIT AVE, DANVILLE, AR 72833(479) 495-6252 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jacob Lee Oliver Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB LEE OLIVER SLP (NPI 1174148936) is an individual speech-language pathologist provider in Danville, Arkansas, licensed in Arkansas (200110) and active in the NPI registry since June 2020. He is a graduate of Other (2017).

NPPES Registry Identity

NPI1174148936

Entity TypeIndividualMale

Primary Taxonomy235Z00000X

Provider Legal NameJACOB LEE OLIVERCredential: SLP

Location Address719 DETROIT AVEDanville, AR 72833-9607

Mailing AddressPo Box 639Danville, AR 72833-0639 · (479) 495-6252

Phone(479) 495-6252

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 8, 2020

NPPES CertifiedJune 8, 2020

✔ NPI 1174148936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in AR · 200110

Definition

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.

719 DETROIT AVE, Danville, AR 72833

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Lee Oliver Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143790048

PECOS Enrollment IDI20260601001533

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RANDALL JAMES OSBORN CNP

Nurse Practitioner (Family)