Abby Marie Olson, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1648 Issued in MN

Practice address

680 Commerce Dr Ste 260
Woodbury, MN 55125-4502

Phone

(651) 207-7197

Fax

(877) 992-0282

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 27, 2020 through Oct 27, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Encompass Nutrition

  • Registered Dietitian
  • Lake Elmo, MN
  • NPI 1972993582

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1013124106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 SIERRA DR",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104345",
            "telephone_number": "651-207-7197",
            "fax_number": "877-992-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 COMMERCE DR STE 260",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254502",
            "telephone_number": "651-207-7197",
            "fax_number": "877-992-0282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2209 Sierra Dr",
            "address_purpose": "LOCATION",
            "city": "White Bear Lake",
            "state": "MN",
            "postal_code": "551104345",
            "country_code": "US",
            "telephone_number": "651-207-7197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "ABBY",
        "middle_name": "MARIE",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "1648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn John Okner, OD
• Chika Eucharia Okpobiri, MD
• Ellen Marie Olander, MD
• Garrick B. Olsen, M.D.
• Stephanie Olson-Kuhlman, OTR/L
• Dennis R Olson, D.D.S.
• Grace Louise Olson
• Jay Franklin Olson, DO
• Jenna Olson, MSW
• Kristen Prentice Bailey Olson, DPT

• Registered Dietitian in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.