Nichole Olsen, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

348050-4405 Issued in UT

Practice address

7285 W 21200 N
Plymouth, UT 84330-7727

Phone

(435) 458-9205

NPI assigned

Aug 23, 2024

Last updated

Oct 16, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sage Clinic

  dba OnSite Care Sage Clinic

  • Primary Care Clinic/Center
  • Plymouth, UT
  • NPI 1285003335
  NPD (past)

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1245063270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2254 N 2850 W",
            "city": "PLAIN CITY",
            "state": "UT",
            "postal_code": "844049254",
            "telephone_number": "801-430-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7285 W 21200 N",
            "city": "PLYMOUTH",
            "state": "UT",
            "postal_code": "843307727",
            "telephone_number": "435-458-9205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2254 N 2850 W",
            "address_purpose": "LOCATION",
            "city": "Plain City",
            "state": "UT",
            "postal_code": "844049254",
            "country_code": "US",
            "telephone_number": "801-430-8337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "NICHOLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "348050-4405",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "348050-4405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Woolley Ludlow, NP-C
• Plymouth Town Corporation (Plymouth EMS)
• Sage Clinic (OnSite Care Sage Clinic)

• Family Nurse Practitioner in Plymouth, UT
• Providers in Plymouth, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.