Active NPI
Nancy Lynn Olson, RN, NP
- Family Nurse Practitioner
- Long Beach, CA
National Provider Identifier
1083933451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20946
- Practice address
- 1301 W 12TH St
Long Beach, CA 90813-2720 - Phone
- (949) 697-9854
- NPI assigned
- May 25, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | 20946 | CA | |
| Family Nurse Practitioner | 363LF0000X | 20946 | CA | Primary |
Addresses
Primary practice location
1301 W 12TH St
Long Beach, CA 90813-2720
Mailing address
1301West 12TH Street
Long Beach, CA 90813
Phone (949) 697-9854
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20946 | Other | CA | CA RNP |
| 200913056 | Other | CA | BC-ADM |
| F0911214 | Other | CA | AANP |
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)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20946 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335571200000",
"number": "1083933451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301WEST 12TH STREET",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90813",
"telephone_number": "949-697-9854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W 12TH ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908132720",
"telephone_number": "949-697-9854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "NANCY",
"middle_name": "LYNN",
"credential": "RN, NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-25",
"last_updated": "2012-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "CA",
"license": "20946",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "20946",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA RNP",
"identifier": "20946",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC-ADM",
"identifier": "200913056",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANP",
"identifier": "F0911214",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.