Individual provider Active NPI

Olivia Leeann Kahn

  • Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1134684657
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95011756 Issued in CA
Practice address
7130 N Millbrook Ave
Fresno, CA 93720-3347
Phone
(559) 326-1222
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95011756 CA Primary
Registered Nurse 163W00000X RN679946 PA

Addresses

Primary practice location

7130 N Millbrook Ave
Fresno, CA 93720-3347

Mailing address

104 Woodmont Blvd Ste 500
Nashville, TN 37205-2245
Phone (559) 326-1222

Other practice location 1

1125 E Spruce Ave Ste 103
Fresno, CA 93720-3387
Phone (559) 878-4510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191112000180 CA Practitioner - Nurse Practitioner 4385076405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7130 N Millbrook Ave
Fresno, CA 93720-3347
Phone (559) 326-1222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
89.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN679946PAMDRegistered Nurse
NP95011756CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baz Allergy, Asthma & Sinus Center, Inc. Current Accepting new patients
Baz Allergy, Asthma & Sinus Center CurrentSince Sep 12, 2019 Accepting new patients
California Cancer Associates for Research and Excellence Inc CurrentSince Mar 25, 2024 Accepting new patients
California Cancer Associates for Research and Excellence Inc CurrentSince Mar 25, 2024 Accepting new patients
Baz Allergy, Asthma & Sinus Center CurrentSince Sep 12, 2019 Accepting new patients

Locations

7130 N Millbrook Ave
Fresno, CA 93720
Phone (559) 326-1222

7471 N Fresno St
Fresno, CA 93720
Phone (559) 436-4500

1125 E Spruce Ave
Ste 103
Fresno, CA 93720
Phone (553) 475-0286

1560 W Lacey Blvd
Ste 103
Hanford, CA 93230
Phone (559) 582-8500

1415 Badger Flat Rd
Ste A
Los Banos, CA 93635
Phone (209) 710-8684

1923 Coffee Rd
Ste 12C
Modesto, CA 95355
Phone (209) 409-8454

104 Woodmont Blvd
Ste 500
Nashville, TN 37205
Phone (615) 467-7400

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1134684657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODMONT BLVD STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052245",
            "telephone_number": "559-326-1222",
            "fax_number": "559-326-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 N MILLBROOK AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203347",
            "telephone_number": "559-326-1222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 E Spruce Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203387",
            "country_code": "US",
            "telephone_number": "559-878-4510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAHN",
        "first_name": "OLIVIA",
        "middle_name": "LEEANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95011756",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN679946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.