Active NPI
Heidi L Olson, FNP
- Registered Nurse
- Chicago, IL
National Provider Identifier
1093273831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041.475186
- Practice address
- 676 N Saint Clair St Ste 850
Chicago, IL 60611-3124 - Phone
- (312) 695-4517
- NPI assigned
- Mar 12, 2019
- 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 Nurse | 163W00000X | 041.475186 | IL | Primary |
Addresses
Primary practice location
676 N Saint Clair St Ste 850
Chicago, IL 60611-3124
Mailing address
280 N Market St Unit 212
Brookfield, WI 53045-3243
Phone (920) 205-1371
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.475186 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552348800000",
"number": "1093273831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 N MARKET ST UNIT 212",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530453243",
"telephone_number": "920-205-1371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 N SAINT CLAIR ST STE 850",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113124",
"telephone_number": "312-695-4517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "HEIDI",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-12",
"last_updated": "2019-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.475186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.