Rebecca Lynn Olson, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30000458 Issued in WA

Practice address

17191 Bothell Way NE
Suite 205
Lake Forest Park, WA 98155-5534

Phone

(206) 364-8272

Fax

(206) 364-5418

NPI assigned

Sep 6, 2006

Last updated

Dec 8, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1184727117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17191 BOTHELL WAY NE",
            "address_2": "SUITE 205",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981555534",
            "telephone_number": "206-364-8272",
            "fax_number": "206-364-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17191 BOTHELL WAY NE",
            "address_2": "SUITE 205",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981555534",
            "telephone_number": "206-364-8272",
            "fax_number": "206-364-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00066043",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30000458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9607862",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khang Nhat Nguyen, PHARMACY TECHNICIAN
• Kathleen Diane Nielson, LICENSED MASSAGE PRA
• Nina Svino DDS PLLC
• Northwest Kidney Centers (Lake City Kidney Center)
• Dijana Novak
• Sandra Oreilly, RN
• Otis Edd Payne, M.D.,PS
• Marilyn Alice Overcast, LMT
• Rebecca Anne Paige, L.M.P.
• Tina Marie Palmer, LMP

• Family Nurse Practitioner in Lake Forest Park, WA
• Providers in Lake Forest Park, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.