Active NPI
Sheila Jo Olund, ATC
- Athletic Trainer
- Rosemount, MN
National Provider Identifier
1295924256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1640
- Practice address
- 3335 142ND St W
Rosemount, MN 55068-4006 - Phone
- (651) 423-7547
- NPI assigned
- Oct 16, 2007
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1640 | MN | Primary |
Addresses
Primary practice location
3335 142ND St W
Rosemount, MN 55068-4006
Mailing address
14267 Banyan LN
Rosemount, MN 55068-3495
Phone (651) 216-2834
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1640 | Other | MN | MEDICAL BOP REGISTRATION |
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 |
|---|---|---|---|
| 1640 | MN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1295924256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14267 BANYAN LN",
"city": "ROSEMOUNT",
"state": "MN",
"postal_code": "550683495",
"telephone_number": "651-216-2834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3335 142ND ST W",
"city": "ROSEMOUNT",
"state": "MN",
"postal_code": "550684006",
"telephone_number": "651-423-7547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLUND",
"first_name": "SHEILA",
"middle_name": "JO",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-16",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "1640",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOP REGISTRATION",
"identifier": "1640",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rosemount, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.