Individual provider Active NPI

Mikaela Marie Olsen, DNP, APRN-CNS, AOCNS

  • Oncology Clinical Nurse Specialist
  • Baltimore, MD
National Provider Identifier
1285233502
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinical Nurse SpecialistTaxonomy code 364SX0200X
License
CS00034 Issued in MD
Practice address
201 N Broadway St RM 5228
Baltimore, MD 21287-0031
Phone
(410) 614-6233
NPI assigned
Oct 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinical Nurse Specialist 364SX0200X CS00034 MD Primary

Addresses

Primary practice location

201 N Broadway St RM 5228
Baltimore, MD 21287-0031

Mailing address

6904 Timber Creek CT
Clarksville, MD 21029-1748
Phone (443) 934-4480

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

LicenseStateTypeSpecialty
CS00034MDMDOncology Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1285233502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6904 TIMBER CREEK CT",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291748",
            "telephone_number": "443-934-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N BROADWAY ST RM 5228",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870031",
            "telephone_number": "410-614-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "MIKAELA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN-CNS, AOCNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SX0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Oncology",
            "state": "MD",
            "license": "CS00034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.