Active NPI
Heather M Olchawa
- Psychiatric/Mental Health Registered Nurse
- Medford, OR
National Provider Identifier
1114400348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 201806681RN
- Practice address
- 1035 N Keene Way Dr
Medford, OR 97504-6253 - Phone
- (541) 500-8814
- Fax
- (541) 500-8813
- NPI assigned
- Sep 13, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 201806681RN | OR | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
1035 N Keene Way Dr
Medford, OR 97504-6253
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Phone (541) 858-8170
Other practice location 1
850 Swing Ln Unit 1
Medford, OR 97501-1790
Phone (541) 622-8592
Other practice location 2
100 E Main St Ste C
Medford, OR 97501-6041
Phone (541) 200-2900
Other practice location 3
524 Manzanita St
Central Point, OR 97502-2352
Phone (541) 200-2900
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 |
|---|---|---|---|
| 201806681RN | OR | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1114400348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3587 HEATHROW WAY",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044004",
"telephone_number": "541-858-8170",
"fax_number": "541-858-8167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 N KEENE WAY DR",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046253",
"telephone_number": "541-500-8814",
"fax_number": "541-500-8813"
}
],
"practiceLocations": [
{
"address_1": "850 Swing Ln Unit 1",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975011790",
"country_code": "US",
"telephone_number": "541-622-8592",
"fax_number": "541-622-8593",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 E Main St Ste C",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975016041",
"country_code": "US",
"telephone_number": "541-200-2900",
"fax_number": "541-200-2948",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "524 Manzanita St",
"address_purpose": "LOCATION",
"city": "Central Point",
"state": "OR",
"postal_code": "975022352",
"country_code": "US",
"telephone_number": "541-200-2900",
"fax_number": "541-200-2948",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLCHAWA",
"first_name": "HEATHER",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-13",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "OR",
"license": "201806681RN",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.