Abigail Jean Olcott, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

13032 71St St Apt 7118
Kenosha, WI 53142-8464

Phone

(309) 397-6406

NPI assigned

Jun 18, 2021

Last updated

Jun 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Midwest Performance Nutrition LLC

  • Sports Dietetics Nutrition Registered Dietitian
  • Pleasant Prairie, WI
  • NPI 1225861040
  NPD Authorized official
• Emily Program P C

  dba The Emily Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Paul, MN
  • NPI 1528165065
  NPD
• Emily Program PC

  dba The Emily Program

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1154696698
  NPD
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1184293706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13032 71ST ST APT 7118",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531428464",
            "telephone_number": "309-397-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13032 71ST ST APT 7118",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531428464",
            "telephone_number": "309-397-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLCOTT",
        "first_name": "ABIGAIL",
        "middle_name": "JEAN",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Occupational Health Centers of the Southwest P.a. (Concentra Medical Centers)
• Occupro, LLC
• Paul Oluwatoyin Odusanya, MD
• Daniel Oh, D.D.S.
• Nancy Nkemjika Okeke, DDS
• Kimberly Ann Oleksak, MSCC, LPC
• Jeanne E Olsen, PA-C
• Melissa M Olsen, LCPC
• Nicholas Olsen, LCSW
• Shae Olsen, LCSW

• Registered Dietitian in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Registered Dietitian in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.