Active NPI
Leah Theresa Olsson, CRNA
- Certified Registered Nurse Anesthetist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209.007933
- Practice address
- 5841 S Maryland Ave
Chicago, IL 60637-1447 - Phone
- (630) 781-3069
- NPI assigned
- Dec 23, 2009
- Last updated
- Sep 11, 2010
- Sex
- Female
- 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 | 209.007933 | IL | Primary |
Addresses
Primary practice location
5841 S Maryland Ave
Chicago, IL 60637-1447
Mailing address
2089 W Wabansia Ave
304
Chicago, IL 60647-5602
Phone (620) 781-3069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Rush Medical College of Rush University, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4550 Investment Dr
Troy, MI 48098-6334
Phone (248) 265-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.007933 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Services, LLC | Current | Accepting new patients | |
| Long Lake Anesthesiology Consultants, PLC | Current | Accepting new patients | |
| Northwestern Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| West Michigan Aas LLC | Current | Accepting new patients | |
| Superior Anesthetists Associates, Inc. | Current | Accepting new patients | |
| Michigan Crnas Staffing LLC | Current | Accepting new patients |
Locations
2009 Momentum Pl
Chicago, IL 60689
18100 Oakwood Blvd
Ste 100
Dearborn, MI 48124
Phone (313) 240-7668
30055 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 626-8200
30055 Northwestern Hwy
Ste L-60
Farmington Hills, MI 48334
Phone (248) 265-6555
4024 Park East Ct SE
Grand Rapids, MI 49546
Phone (231) 592-3102
43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658
920 River Centre Dr
Port Huron, MI 48060
Phone (810) 984-5200
1560 E Maple Rd
#100
Troy, MI 48083
Phone (248) 817-2001
4550 Investment Dr
Troy, MI 48098
Phone (248) 265-4600
4550 Investment Dr
Ste 100
Troy, MI 48098
Phone (248) 265-4600
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Troy, MI
- NPI 1194812651
-
- Anesthesiology Physician
- Novi, MI
- NPI 1851666424
-
- Certified Registered Nurse Anesthetist
- Farmington Hills, MI
- NPI 1215106679
Nurse Anesthetist, Certified Registered
-
- Specialist
- Troy, MI
- NPI 1831144518
-
- Anesthesiology Physician
- Novi, MI
- NPI 1295149227
-
- Anesthesiology Physician
- Farmington Hills, MI
- NPI 1083883649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284163200000",
"number": "1508195454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2089 W WABANSIA AVE",
"address_2": "304",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606475602",
"telephone_number": "620-781-3069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371447",
"telephone_number": "630-781-3069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSSON",
"first_name": "LEAH",
"middle_name": "THERESA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-23",
"last_updated": "2010-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209.007933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2010; 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.