Active NPI
David Olsen
- Certified Registered Nurse Anesthetist
- Morristown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 143294
- Practice address
- 726 McFarland St
Morristown, TN 37814-3989 - Phone
- (423) 522-6160
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 143294 | TN | Primary |
Addresses
Primary practice location
726 McFarland St
Morristown, TN 37814-3989
Mailing address
Dept. 888022
Knoxville, TN 37995-0001
Phone (813) 287-5718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Hospital Dr
Jefferson City, TN 37760-5281
Phone (865) 859-1138
Hospital & facility affiliations
- Tennova Healthcare-Jefferson Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11435 | TN | MD | Physical Therapist |
| 143294 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifelinc Anesthesia VIII PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431
435 2nd St
Newport, TN 37821
Phone (423) 625-2200
6242 W Andrew Johnson Hwy
Talbott, TN 37877
Phone (423) 690-3250
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Newport, TN
- NPI 1679265052
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jefferson City, TN
- NPI 1972585347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477580272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT. 888022",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379950001",
"telephone_number": "813-287-5718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 MCFARLAND ST",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378143989",
"telephone_number": "423-522-6160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "143294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, TN
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.