Individual provider Active NPI

Larayne Olson, ARNP

  • Family Nurse Practitioner
  • Oak Harbor, WA
National Provider Identifier
1376592824
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30004454 Issued in WA
Practice address
2134 Stoney Beach LN
Oak Harbor, WA 98277-8691
Phone
(206) 914-0870
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00113255 WA
Family Nurse Practitioner 363LF0000X AP30004454 WA Primary

Addresses

Primary practice location

2134 Stoney Beach LN
Oak Harbor, WA 98277-8691

Mailing address

2134 Stoney Beach LN
Oak Harbor, WA 98277-8691
Phone (206) 914-0870

Other identifiers 3

IdentifierTypeStateIssuer
9641762MedicaidWA
0183398OtherWALABOR & INDUSTRY
28642UOtherWAREGENCE BLUESHIELD

Other names 1

  • Larayne Olson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20041012000133 WA Practitioner - Nurse Practitioner 1557321981 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN00113255WAMDRegistered Nurse
AP30004454WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Washington CurrentSince Feb 9, 2004 Accepting new patients
University of Washington Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 1, 2023 Accepting new patients
University of Washington CurrentSince Feb 9, 2004 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

711 Capitol Way S
Ste 204
Olympia, WA 98501
Phone (602) 499-5303

4333 Brooklyn Ave NE
Seattle, WA 98195
Phone (206) 221-1700

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

Interoperability endpoints

  • Direct secure messaging: lolson79215@direct.ehre.uwmedicine.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1376592824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134 STONEY BEACH LN",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982778691",
            "telephone_number": "206-914-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 STONEY BEACH LN",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982778691",
            "telephone_number": "206-914-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "LARAYNE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00113255",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30004454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9641762",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "0183398",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD",
            "identifier": "28642U",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARAYNE",
            "last_name": "OLSON",
            "credential": "ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oak Harbor, WA

Sources for this page

Verify at the official NPI Registry.