Kathleen J Olsen, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Sedgwick, ME
NPI 1114952157 · NPPES record last updated Apr 17, 2020
Key facts
- NPI
- 1114952157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- CNP181036 (ME)
- Practice address
- 20 Radar Rd
Sedgwick, ME 04676-2830 - Phone
- (207) 812-4353
- Fax
- (207) 352-4080
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medoptions of Massachusetts LLC | Past |
Accepting new patients | |
| Mount Desert Island Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP181036 | ME | Yes |
Addresses
Primary practice location
20 Radar Rd
Sedgwick, ME 04676-2830
Mailing address
PO Box 152
Sedgwick, ME 04676-0152
Phone (207) 812-4353
Other providers in Sedgwick, ME
All providers in Sedgwick, ME · Psychiatric/Mental Health Nurse Practitioner in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.