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OLIVIA LAKE
NPI 1225722184
Speech-Language Pathologist in Jacksonville, FL

Active since June 05, 2023
12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 32223(904) 886-3228 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Olivia Lake NPPES

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

OLIVIA LAKE (NPI 1225722184) is an individual speech-language pathologist provider in Jacksonville, Florida and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1225722184
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameOLIVIA LAKE
Location Address12276 SAN JOSE BLVD STE 508Jacksonville, FL 32223-8618
Mailing Address12276 San Jose Blvd Ste 508Jacksonville, FL 32223-8618
Phone(904) 886-3228
Sole ProprietorNo
Enumeration DateJune 5, 2023
NPPES CertifiedJune 5, 2023
✔ NPI 1225722184 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
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.
12276 SAN JOSE BLVD STE 508, Jacksonville, FL 32223
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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.

JESSICA DAILEY DPT
Physical Therapist (Pediatrics)
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL 32223
Duval County (904) 886-3228
MICHELLE RAMIREZ
Assistant Behavior Analyst
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL 32223
Duval County (904) 886-3228
MRS. SHANTEL VALERIA BOYKIN
Behavior Technician
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL 32223
Duval County (904) 886-3228
REBECCA JEWELL WRIGHT
Occupational Therapist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL 32223
Duval County (322) 890-4886
CAITLIN ELIZABETH COUCH
Music Therapist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL 32223
Duval County (904) 886-3228
AMANDA CHAPPELL
Physical Therapist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL 32223
Duval County (904) 886-3228
CHELSEA NOWAK BCBA
Behavior Analyst
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL 32223
Duval County (904) 886-3228
KATHRYN HARTMAN BISHOP OTRL
Occupational Therapist
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL 32223
Duval County (904) 886-3228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olivia Lake's NPI number?

The NPI number for Olivia Lake is 1225722184. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Where is Olivia Lake located?

Olivia Lake practices at 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223. The listed phone number is (904) 886-3228.

What is Olivia Lake's specialty?

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

When was this NPI record last updated?

The NPPES record for Olivia Lake was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.