Active NPI
Nichole Olson
- Surgical Assistant
- Manitowoc, WI
National Provider Identifier
1538538319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Practice address
- 501 N 10TH St
Manitowoc, WI 54220-4039 - Phone
- (920) 682-6376
- Fax
- (920) 652-0115
- NPI assigned
- Sep 22, 2015
- Last updated
- Sep 22, 2015
- 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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | NU | Primary |
Addresses
Primary practice location
501 N 10TH St
Manitowoc, WI 54220-4039
Mailing address
1914 Herman Rd
Manitowoc, WI 54220-1233
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442880000000",
"number": "1538538319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1914 HERMAN RD",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542201233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N 10TH ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204039",
"telephone_number": "920-682-6376",
"fax_number": "920-652-0115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "NICHOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-22",
"last_updated": "2015-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.