NPIMap

Organization Active NPI

Olympus Medical House Calls

  • Primary Care Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1508162736
Registry record updated Feb 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
OLYMPUS MEDICAL HOUSE CALLS
Practice address
3096 Marie Cir
Salt Lake City, UT 84109-2446
Phone
(801) 809-2119
NPI assigned
Feb 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2011

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

Authorized official

Name
Laura Chamberlain, MSN, NP-C
Title
Nurse Practitioner
Phone
(801) 809-2119

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 4779643-4405 UT

Addresses

Primary practice location

3096 Marie Cir
Salt Lake City, UT 84109-2446

Mailing address

3096 Marie Cir
Salt Lake City, UT 84109-2446
Phone (801) 809-2119

National Provider Directory

National Provider Directory

Locations

25117 SW Parkway Ave
Ste B
Wilsonville, OR 97070
Phone (503) 783-7243

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296864000000",
    "number": "1508162736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3096 MARIE CIR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092446",
            "telephone_number": "801-809-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3096 MARIE CIR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092446",
            "telephone_number": "801-809-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPUS MEDICAL HOUSE CALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-05",
        "last_updated": "2011-02-05",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "801-809-2119",
        "authorized_official_credential": "MSN, NP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "4779643-4405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2011; 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.