Individual provider Active NPI

Stephanie J Olscamp, CNM

  • Midwife
  • Coeur d'Alene, ID
National Provider Identifier
1255369468
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
NP571A Issued in ID
Practice address
980 W. Ironwood
Suite 101
Coeur D'Alene, ID 83814
Phone
(208) 765-1455
Fax
(208) 667-8655
NPI assigned
Jun 28, 2006
Last updated
May 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X N-27717 ID
Advanced Practice Midwife 367A00000X CNM50A ID
Midwife 176B00000X NP571A ID Primary

Addresses

Primary practice location

980 W. Ironwood
Suite 101
Coeur D'Alene, ID 83814

Mailing address

980 W. Ironwood
Suite 101
Coeur D'Alene, ID 83814
Phone (208) 765-1455

Other identifiers 1

IdentifierTypeStateIssuer
806370600MedicaidID

Other names 1

  • Stephanie Harrison Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080911000476 ID Practitioner - Certified Nurse Midwife (CNM) 6800846395

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Care for Women P aGroup PAC ID 9234187378, 5 clinicians

Practice addresses (Care Compare)

980 W Ironwood Dr
Suite 101
Coeur D Alene, ID 83814-2668
Phone 2087651455120

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP571AIDMDMidwife
N-27717IDMDNurse Practitioner
CNM50AIDMDAdvanced Practice Midwife

Interoperability endpoints

  • Direct secure messaging: solscamp@healthcareforwomen.gwaydirect.com
  • Direct secure messaging: solscamp627384@direct.multicare.org

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1255369468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 W. IRONWOOD",
            "address_2": "SUITE 101",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-765-1455",
            "fax_number": "208-667-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 W. IRONWOOD",
            "address_2": "SUITE 101",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-765-1455",
            "fax_number": "208-667-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSCAMP",
        "first_name": "STEPHANIE",
        "middle_name": "J",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "N-27717",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "ID",
            "license": "CNM50A",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "ID",
            "license": "NP571A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806370600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HARRISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.