Individual provider Active NPI

Katie Nadine Olson

  • Nurse Practitioner
  • Victoria, TX
National Provider Identifier
1407406051
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP143050 Issued in TX
Practice address
3901 N Navarro St
Victoria, TX 77901-2622
Phone
(361) 573-0713
Fax
(361) 575-0713
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP143050 TX Primary
Registered Nurse 163W00000X 779993 TX

Addresses

Primary practice location

3901 N Navarro St
Victoria, TX 77901-2622

Mailing address

5929 Balcones Dr Ste 200
Austin, TX 78731-4280
Phone (512) 550-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20191025000015 TX Practitioner - Nurse Practitioner 1658603519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Sinus and Allergy Specialists of TexasGroup PAC ID 7315169596, 41 clinicians

Practice addresses (Care Compare)

4601 W Fwy 600
Aspire Allergy and Sinus
Fort Worth, TX 76017-5354
Phone (972) 716-3922

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
779993TXMDRegistered Nurse
AP143050TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sinus & Allergy Specialists of Texas CurrentSince Apr 6, 2022 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Noble Anesthesia Partners, PLLC PastSince Feb 1, 2026 Accepting new patients

Locations

5929 Balcones Dr
Ste 200
Austin, TX 78731
Phone (512) 222-5856

5826 Esplanade Dr
Ste 304A
Corpus Christi, TX 78414
Phone (361) 221-4010

3001 Knox St
Ste 407
Dallas, TX 75205

4601 West Fwy
Ste 600
Fort Worth, TX 76107

1650 W Northwest Hwy
Ste 202
Grapevine, TX 76051
Phone (817) 552-0252

4801 Woodway Dr
Ste 120E
Houston, TX 77056
Phone (713) 497-1102

115 N Loop 1604 E
Ste 1204
San Antonio, TX 78232
Phone (210) 446-0418

3901 N Navarro St
Victoria, TX 77901
Phone (361) 573-0713

7125 Sanger Rd
Ste 504
Waco, TX 76712
Phone (254) 300-8839

Organizations & group practices 3

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": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1407406051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 BALCONES DR STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314280",
            "telephone_number": "512-550-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 N NAVARRO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012622",
            "telephone_number": "361-573-0713",
            "fax_number": "361-575-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KATIE",
        "middle_name": "NADINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP143050",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "779993",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.