Active NPI
Tara Olson, RDN, LD
- Registered Dietitian
- North Plains, OR
National Provider Identifier
1275070880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 10161709
- Practice address
- 10135 NW Curtis St
North Plains, OR 97133-8235 - Phone
- (775) 223-0958
- NPI assigned
- Jan 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 10161709 | OR | Primary |
Addresses
Primary practice location
10135 NW Curtis St
North Plains, OR 97133-8235
Mailing address
10135 NW Curtis St
North Plains, OR 97133-8235
Phone (775) 223-0958
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10161709 | OR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484956800000",
"number": "1275070880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10135 NW CURTIS ST",
"city": "NORTH PLAINS",
"state": "OR",
"postal_code": "971338235",
"telephone_number": "775-223-0958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10135 NW CURTIS ST",
"city": "NORTH PLAINS",
"state": "OR",
"postal_code": "971338235",
"telephone_number": "775-223-0958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "TARA",
"credential": "RDN, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-21",
"last_updated": "2017-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "10161709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Plains, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.