Individual provider Active NPI

Jean Lorraine Olson, M.D.

  • Public Health & General Preventive Medicine Physician
  • Bethesda, MD
National Provider Identifier
1447593728
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
G51594 Issued in CA
Practice address
6701 Rockledge Dr
Suite 10018, MSC 7936
Bethesda, MD 20892-7936
Phone
(301) 435-0397
Fax
(301) 480-1667
NPI assigned
Apr 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X G51594 CA Primary

Addresses

Primary practice location

6701 Rockledge Dr
Suite 10018, MSC 7936
Bethesda, MD 20892-7936

Mailing address

6701 Rockledge Dr
Suite 10018, MSC 7936
Bethesda, MD 20892-7936
Phone (301) 435-0397

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G51594CAMDPublic Health & General Preventive Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1447593728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 ROCKLEDGE DR",
            "address_2": "SUITE 10018, MSC 7936",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208927936",
            "telephone_number": "301-435-0397",
            "fax_number": "301-480-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 ROCKLEDGE DR",
            "address_2": "SUITE 10018, MSC 7936",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208927936",
            "telephone_number": "301-435-0397",
            "fax_number": "301-480-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JEAN",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "G51594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.