Active NPI
Teri Olin
- Family Nurse Practitioner
- West Palm Beach, FL
National Provider Identifier
1164076212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2147692
- Practice address
- 1645 Palm Beach Lakes Blvd Ste 240
West Palm Beach, FL 33401-2205 - Phone
- (863) 604-1820
- NPI assigned
- Jul 26, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2147692 | FL | Primary |
Addresses
Primary practice location
1645 Palm Beach Lakes Blvd Ste 240
West Palm Beach, FL 33401-2205
Mailing address
274 Worley Street
Chokoloskee, FL 34138
Phone (352) 219-8206
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2147692 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1164076212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "274 WORLEY STREET",
"city": "CHOKOLOSKEE",
"state": "FL",
"postal_code": "34138",
"telephone_number": "352-219-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 PALM BEACH LAKES BLVD STE 240",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012205",
"telephone_number": "863-604-1820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIN",
"first_name": "TERI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-26",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "2147692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.