Individual provider Active NPI

Rosemary Judith Olive, RN, MSN, CNS

  • Perinatal Clinical Nurse Specialist
  • San Rafael, CA
National Provider Identifier
1164684924
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Perinatal Clinical Nurse SpecialistTaxonomy code 364SP1700X
License
1972 Issued in CA
Practice address
397 Bryce Canyon Rd
San Rafael, CA 94903-2226
Phone
(415) 499-7682
NPI assigned
Jul 1, 2008
Last updated
Nov 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health/Public Health Clinical Nurse Specialist 364SC1501X 1972 CA
Perinatal Clinical Nurse Specialist 364SP1700X 1972 CA Primary
Registered Nurse 163W00000X RN 338797 CA
Continuing Education/Staff Development Registered Nurse 163WC1600X CNS 1972 CA

Addresses

Primary practice location

397 Bryce Canyon Rd
San Rafael, CA 94903-2226

Mailing address

PO Box 6695
San Rafael, CA 94903-0695
Phone (415) 499-7682

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
Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 338797CAMDRegistered Nurse
CNS 1972CAMDContinuing Education/Staff Development Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1164684924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6695",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949030695",
            "telephone_number": "415-499-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 BRYCE CANYON RD",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032226",
            "telephone_number": "415-499-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVE",
        "first_name": "ROSEMARY",
        "middle_name": "JUDITH",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "CA",
            "license": "1972",
            "primary": false
        },
        {
            "code": "364SP1700X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Perinatal",
            "state": "CA",
            "license": "1972",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN 338797",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "CA",
            "license": "CNS 1972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.