Olivia Rose Landis, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

26NR18115600 Issued in NJ

Practice address

33 Greenbrook Dr
Columbus, NJ 08022-2319

Phone

(609) 970-3427

NPI assigned

Oct 31, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1245782895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 GREENBROOK DR",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080222319",
            "telephone_number": "609-970-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 GREENBROOK DR",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080222319",
            "telephone_number": "609-970-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "OLIVIA",
        "middle_name": "ROSE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR18115600",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN678287",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Kekesi
• Rabia Khan
• Tara Klein, BCBA
• Meghan Klouser, MS, OTR
• David Clark Kopsco, NP
• Legacy Treatment Serivces, Inc.
• Liamot Vascular Imaging
• Heather Linda Lingley, DVM
• Renee Lloyd, DMD
• Maria D. Lugo, M.D.

• All providers in Columbus, NJ
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.