Erica Jolene Olsen

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Practice address

711 W Moreland Blvd Ste 204
Waukesha, WI 53188-2483

Phone

(262) 896-9891

NPI assigned

Feb 16, 2022

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

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1255086435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W MORELAND BLVD STE 204",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882483",
            "telephone_number": "262-896-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W MORELAND BLVD STE 204",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882483",
            "telephone_number": "262-896-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "ERICA",
        "middle_name": "JOLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "6504-16",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lynn Oeder, PA
• Hyun Sik Oh, D.D.S.
• Kimberly Ohlund
• Zelda Ikulumet Okia, MD
• Kevin J Oleary, DDS
• Alisha Renee Olson
• Allysa Olson, MS
• Ann Olson, R.D.H.
• Christopher Olson
• Deborah Denise Olson, MS LPC

• Dental Hygienist in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.