Oliver Elliott Olson, APRN-NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3007504 Issued in KY

Practice address

3707 Chamberlain LN Ste 101
Louisville, KY 40241-2091

Phone

(502) 472-5657

NPI assigned

Jul 12, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pearl Geriatrics and Palliative Medicine, PSC

  • Geriatric Medicine (Internal Medicine) Physician
  • Louisville, KY
  • NPI 1376865972

  Family

  Medicare reassignment NPD
• Pearl Medical Practice PLLC

  • Primary Care Clinic/Center
  • Louisville, KY
  • NPI 1669841631
  NPD (past)

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1255696597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 CHAMBERLAIN LN STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412091",
            "telephone_number": "502-472-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 CHAMBERLAIN LN STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412091",
            "telephone_number": "502-472-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "OLIVER",
        "middle_name": "ELLIOTT",
        "credential": "APRN-NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-12",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1117485",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3007504",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002557",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95063617",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100211250",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erik K Olson, MD
• John W Olson, DDS
• Walter L Olson, Jr., MD
• Marianne Olson, MS, GC
• Merrideth Louise Olson, BA, RBT
• Stephanie Olson, OT
• Maria-Amabelle Olvera
• Aisha J Omar, MS
• Rashid Omar, OD
• Rawhi Omar, MD, PHD

• Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.