Active NPI
Jaime Lynn Olson
- Contractor
- Madison, WI
National Provider Identifier
1124353008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 3160-046
- Practice address
- 5600 Medical Cir
Madison, WI 53719-1243 - Phone
- (608) 213-5967
- NPI assigned
- Oct 9, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 3160-046 | WI | Primary |
Addresses
Primary practice location
5600 Medical Cir
Madison, WI 53719-1243
Mailing address
5600 Medical Cir
Madison, WI 53719-1243
Phone (608) 213-5967
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 |
|---|---|---|---|
| 3160-046 | WI | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255046400000",
"number": "1124353008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 MEDICAL CIR",
"city": "MADISON",
"state": "WI",
"postal_code": "537191243",
"telephone_number": "608-213-5967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 MEDICAL CIR",
"city": "MADISON",
"state": "WI",
"postal_code": "537191243",
"telephone_number": "608-213-5967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "JAIME",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-09",
"last_updated": "2009-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "WI",
"license": "3160-046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.