Individual provider Active NPI

Dana Kay Olsen, R.N.

  • Perinatal Registered Nurse
  • Castle Dale, UT
National Provider Identifier
1053531228
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Perinatal Registered NurseTaxonomy code 163WP1700X
License
189299-3102 Issued in UT
Practice address
25 W Main
Castle Dale, UT 84513
Phone
(435) 381-2252
Fax
(435) 381-5635
NPI assigned
Apr 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Perinatal Registered Nurse 163WP1700X 189299-3102 UT Primary

Addresses

Primary practice location

25 W Main
Castle Dale, UT 84513

Mailing address

PO Box 800
Price, UT 84501-0800

Other identifiers 1

IdentifierTypeStateIssuer
11549MedicaidUT

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
189299-3102UTMDPerinatal Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nielson'S Pharmacy, Inc Past Accepting new patients
Southeastern Utah District Health Department Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053531228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845010800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W MAIN",
            "city": "CASTLE DALE",
            "state": "UT",
            "postal_code": "84513",
            "telephone_number": "435-381-2252",
            "fax_number": "435-381-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "DANA",
        "middle_name": "KAY",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP1700X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Perinatal",
            "state": "UT",
            "license": "189299-3102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11549",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Dale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.