Active NPI
Laura Olsen, MNT
- Registered Dietitian
- Brooklyn, NY
National Provider Identifier
1437238482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000212-1
- Practice address
- 2726 Gerritsen Ave
Brooklyn, NY 11229-5915 - Phone
- (718) 769-8820
- Fax
- (718) 769-8558
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 000212-1 | NY | Primary |
Addresses
Primary practice location
2726 Gerritsen Ave
Brooklyn, NY 11229-5915
Mailing address
20 Dictum CT
Brooklyn, NY 11229-5938
Phone (718) 769-8820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000212-1 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437238482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 DICTUM CT",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112295938",
"telephone_number": "718-769-8820",
"fax_number": "718-769-8558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2726 GERRITSEN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112295915",
"telephone_number": "718-769-8820",
"fax_number": "718-769-8558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "LAURA",
"credential": "MNT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "000212-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.