Active NPI
Karisse Olson, LMT
- Massage Therapist
- Goodlettsville, TN
National Provider Identifier
1124728183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13355
- Practice address
- 313 Bluebird Dr
Goodlettsville, TN 37072-2303 - Phone
- (561) 635-3664
- NPI assigned
- Mar 8, 2023
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 13355 | TN | Primary |
Addresses
Primary practice location
313 Bluebird Dr
Goodlettsville, TN 37072-2303
Mailing address
313 Bluebird Dr
Goodlettsville, TN 37072-2303
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1124728183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 BLUEBIRD DR",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370722303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 BLUEBIRD DR",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370722303",
"telephone_number": "561-635-3664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "KARISSE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-08",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TN",
"license": "13355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodlettsville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.