Andrea Briggs Olds, RD LD/N

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

ND2794 Issued in FL

Practice address

3221 Tamiami TRL
Port Charlotte, FL 33952-8002

Phone

(941) 505-8720

Fax

(941) 505-8747

NPI assigned

Aug 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

• Fort Myers Kidney Center LLC

  dba Fort Myers Kidney Care Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Myers, FL
  • NPI 1093154916
  NPD (past)

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1306078456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 TAMIAMI TRL",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528002",
            "telephone_number": "941-505-8720",
            "fax_number": "941-505-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 TAMIAMI TRL",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528002",
            "telephone_number": "941-505-8720",
            "fax_number": "941-505-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDS",
        "first_name": "ANDREA",
        "middle_name": "BRIGGS",
        "name_prefix": "Mrs.",
        "credential": "RD LD/N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-21",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "FL",
            "license": "ND2794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "N004P",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Odham, CHT, MS,OTR/L,
• Sydney Odom
• James O Ogedegbe, MD
• Ivan Guillermo Olarte, MD
• Cassandra Nicole Oldenburg, CRNA, MSN
• Esther Olds
• Olean Dental Studio PLLC
• Angelica Olivarez
• Olive N Deguzman RPT PA
• Lori Suzanne Olsen King, LMHC

• Renal Nutrition Registered Dietitian in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Renal Nutrition Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.