Active NPI
Julie Debra Olson, NP
- Nurse Practitioner
- Carlsbad, CA
National Provider Identifier
1265405401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 12670
- Practice address
- 2910 Jefferson St Ste 100
Carlsbad, CA 92008-2357 - Phone
- (760) 729-8600
- Fax
- (760) 729-2319
- NPI assigned
- Feb 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 12670 | CA | Primary |
Addresses
Primary practice location
2910 Jefferson St Ste 100
Carlsbad, CA 92008-2357
Mailing address
2910 Jefferson St Ste 100
Carlsbad, CA 92008-2357
Phone (760) 729-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12670 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1265405401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 JEFFERSON ST STE 100",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920082357",
"telephone_number": "760-729-8600",
"fax_number": "760-729-2319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 JEFFERSON ST STE 100",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920082357",
"telephone_number": "760-729-8600",
"fax_number": "760-729-2319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "JULIE",
"middle_name": "DEBRA",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "12670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.