Christian William Olson

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Practice address

1250 Palm St
Clearwater, FL 33755-1129

Phone

(727) 510-4584

Fax

(727) 442-2211

NPI assigned

Dec 6, 2010

Last updated

Dec 6, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1467755959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PALM ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337551129",
            "telephone_number": "727-510-4584",
            "fax_number": "727-442-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PALM ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337551129",
            "telephone_number": "727-510-4584",
            "fax_number": "727-442-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "CHRISTIAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002247100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis Gustavo Oliveira, DPT
• Avery Oliver, MPH, RDN
• Alix Taylor Olsen, PA
• Dane Olsen, PAC
• Sue Olsen
• Lydia Olson, LCSW
• Olalekan Peter Olufemi, M.D.
• Samantha C Omelian, PH.D.
• Omni Clearwater, LLC (Omni Spine & Joint - Clearwater)
• Oncology Physicians PA

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.