Individual provider Active NPI

Diane Lynn Olson, RD

  • Registered Dietitian
  • Madison, WI
National Provider Identifier
1053586677
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1287 Issued in WI
Practice address
451 Junction Rd
Madison, WI 53717-2656
Phone
(608) 890-5500
Fax
(608) 265-0977
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1287 WI Primary

Addresses

Primary practice location

451 Junction Rd
Madison, WI 53717-2656

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080908000293 WI Practitioner - Registered Dietitian Or Nutrition Professional 2264508779 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1287WIMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Moundview Memorial Hospital & Clinics, Inc CurrentSince Oct 2, 2012 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jan 1, 2021 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jan 1, 2021 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Oct 2, 2012 Accepting new patients

Locations

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

5249 E Terrace Dr
Ste 9953
Madison, WI 53718

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

451 Junction Rd
Madison, WI 53717
Phone (608) 263-5010

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

Organizations & group practices 4

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": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1053586677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 JUNCTION RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172656",
            "telephone_number": "608-890-5500",
            "fax_number": "608-265-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "DIANE",
        "middle_name": "LYNN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "1287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.