Individual provider Active NPI

Kathleen M Olver, RN

  • Emergency Registered Nurse
  • Harlem, MT
National Provider Identifier
1164638615
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
MT 19179 Issued in MT
Practice address
RR 1 Box 67
Harlem, MT 59526-9705
Phone
(406) 353-3100
Fax
(406) 353-3229
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X MT 19179 MT Primary

Addresses

Primary practice location

RR 1 Box 67
Harlem, MT 59526-9705

Mailing address

826 12TH St
Havre, MT 59501-4636
Phone (406) 390-4434

Other identifiers 1

IdentifierTypeStateIssuer
MT 19179OtherMTLICENSE

Other names 1

  • Kathleen M Velk Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
MT 19179MTMDEmergency Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164638615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 12TH ST",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595014636",
            "telephone_number": "406-390-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 67",
            "city": "HARLEM",
            "state": "MT",
            "postal_code": "595269705",
            "telephone_number": "406-353-3100",
            "fax_number": "406-353-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLVER",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MT",
            "license": "MT 19179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MT 19179",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "VELK",
            "middle_name": "M",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harlem, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.