Active NPI
Michelle M Olson
- Hearing Instrument Specialist
- Bemidji, MN
National Provider Identifier
1538653225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- H-0350
- Practice address
- 612 5TH St NW
Bemidji, MN 56601-2915 - Phone
- (218) 444-4444
- NPI assigned
- Jun 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | H-0350 | ND | Primary |
Addresses
Primary practice location
612 5TH St NW
Bemidji, MN 56601-2915
Mailing address
612 5TH St NW
Bemidji, MN 56601-2915
Phone (218) 444-4444
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H-0350 | ND | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renaissance Hearing CTRS., Inc. | Single Specialty | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529280000000",
"number": "1538653225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 5TH ST NW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566012915",
"telephone_number": "218-444-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 5TH ST NW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566012915",
"telephone_number": "218-444-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "MICHELLE",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-18",
"last_updated": "2018-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": "ND",
"license": "H-0350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bemidji, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.