Active NPI
Ann B Olsen, L.M., C.P.M.
- Midwife
- Enumclaw, WA
National Provider Identifier
1023091311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW00000279
- Practice address
- 247 Chinook Ave
Enumclaw, WA 98022-3747 - Phone
- (360) 825-5720
- Fax
- (306) 802-9377
- NPI assigned
- Nov 21, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | MW00000279 | WA | Primary |
Addresses
Primary practice location
247 Chinook Ave
Enumclaw, WA 98022-3747
Mailing address
247 Chinook Ave
Enumclaw, WA 98022-3747
Phone (360) 825-5720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7119597 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW00000279 | WA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1023091311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 CHINOOK AVE",
"city": "ENUMCLAW",
"state": "WA",
"postal_code": "980223747",
"telephone_number": "360-825-5720",
"fax_number": "306-802-9377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 CHINOOK AVE",
"city": "ENUMCLAW",
"state": "WA",
"postal_code": "980223747",
"telephone_number": "360-825-5720",
"fax_number": "306-802-9377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "ANN",
"middle_name": "B",
"credential": "L.M., C.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-21",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "WA",
"license": "MW00000279",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7119597",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Enumclaw, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.