Individual provider Active NPI

Jenny Rebecca Olson, APRN CNM

  • Advanced Practice Midwife
  • St Petersburg, FL
National Provider Identifier
1295287076
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN11012797 Issued in FL
Practice address
1600 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-4204
Phone
(727) 456-0750
Fax
(727) 456-0751
NPI assigned
Oct 27, 2016
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN11012797 FL
Advanced Practice Midwife 367A00000X APRN11012797 FL Primary

Addresses

Primary practice location

1600 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-4204

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other practice location 1

8239 Meadowbridge Rd
Suite A
Mechanicsville, VA 23116-2318
Phone (804) 730-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210511000327 FL Practitioner - Certified Nurse Midwife (CNM) 5890050264 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11012797FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Care Florida LLC Advanced Practice Midwife CurrentSince May 17, 2021 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Womens' Health Hospitalists, LLC CurrentSince May 17, 2021 Accepting new patients

Locations

1600 Dr Martin Luther King Jr St N
St Petersburg, FL 33704
Phone (727) 323-3838

2191 9th Ave N
Ste 120
St Petersburg, FL 33713
Phone (727) 826-0795

3055 5th Ave N
Ste A
St Petersburg, FL 33713
Phone (727) 201-8800

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

5002 W Lemon St
Tampa, FL 33609

Interoperability endpoints

  • Direct secure messaging: jenny.olson@dominionwomenshealth.directbygreenway.com
  • Direct secure messaging: jolson266142@orlandohealth.medalliesdirect.net

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1295287076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044204",
            "telephone_number": "727-456-0750",
            "fax_number": "727-456-0751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8239 Meadowbridge Rd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231162318",
            "country_code": "US",
            "telephone_number": "804-730-0800",
            "fax_number": "804-730-0839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JENNY",
        "middle_name": "REBECCA",
        "credential": "APRN CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN11012797",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11012797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.