Katherine K Olson, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

3333 Issued in CO

Practice address

2030 Mountain View Ave
Suite 420
Longmont, CO 80501-3178

Phone

(303) 776-9400

Fax

(303) 682-2952

NPI assigned

Mar 28, 2012

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

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Advanced Urology, PLLC

  dba Colorado Urology

  • Urology Physician
  • Lone Tree, CO
  • NPI 1962501551
  Medicare reassignment NPD
• Advanced Urology, PLLC

  • Urology Physician
  • Westminster, CO
  • NPI 1255981833
  NPD

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1366718983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4743 ARAPAHOE AVE 104",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031123",
            "telephone_number": "303-444-9000",
            "fax_number": "303-444-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 MOUNTAIN VIEW AVE",
            "address_2": "SUITE 420",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013178",
            "telephone_number": "303-776-9400",
            "fax_number": "303-682-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KATHERINE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "3333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF COLORADO",
            "identifier": "3333",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irene Olijnyk, M.D.
• Nancy J Olin, M,A, CCC-SLP
• Alyssa M Olivieri, MOT, OTR/L
• Danielle Olson
• Jennifer A Olson
• Optometric Associates PC (Eagle Vision & Eye Clinic PC)
• Optumcare Colorado Medical Group LLC (Colorado Center for Arthritis and Osteoporosis)
• Yaira Oquendo-Figueroa, PHD
• Oral and Maxillofacial Surgery of Longmont LLC
• Anibal Orecchio, LMT

• Medical Physician Assistant in Longmont, CO
• Providers in Longmont, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.