Lana Louise Olsson, R.D., C.S.G

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

579546 Issued in CO

Practice address

1136 E Stuart St Ste 101
Fort Collins, CO 80525-1195

Phone

(970) 443-9148

Fax

(970) 232-9367

NPI assigned

Mar 24, 2011

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Miss Lana Louise Luxenberg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1396044772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5624 BRIANNA LN",
            "city": "BELLVUE",
            "state": "CO",
            "postal_code": "805125850",
            "telephone_number": "970-482-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST STE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251195",
            "telephone_number": "970-443-9148",
            "fax_number": "970-232-9367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5624 Brianna Ln",
            "address_purpose": "LOCATION",
            "city": "Bellvue",
            "state": "CO",
            "postal_code": "805125850",
            "country_code": "US",
            "telephone_number": "970-482-3951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSSON",
        "first_name": "LANA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "R.D., C.S.G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WY",
            "license": "216",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "579546",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN000286",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "579546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "216",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACADEMY OF NUTRITION & DIETETICS REGISTRATION",
            "identifier": "579546",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANA",
            "last_name": "LUXENBERG",
            "middle_name": "LOUISE",
            "prefix": "MISS",
            "credential": "R.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Dietitian in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.