Active NPI
Nina K Olsen, RDN
- Registered Dietitian
- Racine, WI
National Provider Identifier
1083322630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86171902
- Practice address
- 1008 Lathrop Ave
Racine, WI 53405-2342 - Phone
- (262) 331-0933
- NPI assigned
- Nov 14, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86171902 | WI | Primary |
Addresses
Primary practice location
1008 Lathrop Ave
Racine, WI 53405-2342
Mailing address
1008 Lathrop Ave
Racine, WI 53405-2342
Phone (262) 331-0933
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 |
|---|---|---|---|
| 86171902 | WI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metabolic RDS | Dietitian, Registered | Current | Accepting new patients |
Locations
807 Waukegan Rd
Ste 110
Deerfield, IL 60015
Phone (262) 331-0933
Organizations & group practices 1
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": "1668384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1083322630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 LATHROP AVE",
"city": "RACINE",
"state": "WI",
"postal_code": "534052342",
"telephone_number": "262-331-0933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 LATHROP AVE",
"city": "RACINE",
"state": "WI",
"postal_code": "534052342",
"telephone_number": "262-331-0933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "NINA",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-14",
"last_updated": "2022-11-14",
"certification_date": "2022-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "86171902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Racine, WI
- Occupational Health Centers of the Southwest, P.a. (Concentra Medical Center)
- Richard Odders, MD
- Jay M Oksiuta, DDS
- Taylor Olivotti, M.S. CF-SLP
- F Kris Olsen, D.D.S.
- Brittany Olson, APNP
- Nicholas Omdahl, MD
- Optical Dept. of Eye Clinic of Racine, LTD.
- Crystil Marie Orellana
- Pauline E Ortloff, BS, CSAC, ICS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.