Sheila Ann Olsen, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0000012662 Issued in TN

Practice address

806 Navajo Dr
Jefferson City, TN 37760-5122

Phone

(865) 262-9210

Fax

(865) 262-9211

NPI assigned

Jul 11, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1235338252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 NAVAJO DR",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377605122",
            "telephone_number": "865-262-9210",
            "fax_number": "865-262-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 NAVAJO DR",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377605122",
            "telephone_number": "865-262-9210",
            "fax_number": "865-262-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "SHEILA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000012662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4179733",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506254",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Harrison Newcomb, DC
• Jennifer Nichols, PHARMD
• Wanda Kay Agent Nicholson, PT
• Eleisha Jean Nickoles, D.D.S
• Sheri Agatha Nsamenang, M.S.
• Optimus Health Center, Inc.
• Overcome Adversity, PLLC
• Fiorello Erico Pacia Jr., PT
• Milagros Pacia
• Aaron Michael Parsons, PA-C

• Family Nurse Practitioner in Jefferson City, TN
• Providers in Jefferson City, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.