Individual provider Active NPI

Heather A Olds, CRNA

  • Certified Registered Nurse Anesthetist
  • West Chester, PA
National Provider Identifier
1588652069
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN524068L Issued in PA
Practice address
701 E Marshall St
West Chester, PA 19380-4412
Phone
(610) 431-5472
NPI assigned
Oct 10, 2005
Last updated
Jun 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024166422 VA
Certified Registered Nurse Anesthetist 367500000X L6-0A00487 DE
Certified Registered Nurse Anesthetist 367500000X RN524068L PA Primary
Registered Nurse 163W00000X L1-0034155 DE
Registered Nurse 163W00000X 0001174340 VA

Addresses

Primary practice location

701 E Marshall St
West Chester, PA 19380-4412

Mailing address

2006 Limestone Rd
Suite 5
Wilmington, DE 19808-5553
Phone (302) 995-1860

Other practice location 1

2006 Limestone Rd
Suite #5
Wilmington, DE 19808-5553
Phone (302) 995-1860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070126000224 DE Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173570520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NCB Anesthesia Associates, LLCGroup PAC ID 1557726130, 17 clinicians
Delaware Center for Digestive Care LLCGroup PAC ID 5890089353, 68 clinicians

Practice addresses (Care Compare)

1000 Twin C LN
Suite 200
Newark, DE 19713-2142
Phone (302) 683-0700

4745 Ogletown Stanton Rd
Newark, DE 19713-2074
Phone (302) 738-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
L1-0034155DEMDRegistered Nurse
0001174340VAMDRegistered Nurse
0024166422VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Center for Digestive Care LLC CurrentSince Dec 1, 2022 Accepting new patients
NCB Anesthesia Associates, LLC CurrentSince Apr 15, 2023 Accepting new patients
Hanover Anesthesia Group,Inc Past Accepting new patients
First State Anesthesia Services LLC Past Accepting new patients

Locations

1000 Twin C Ln
Ste 200
Newark, DE 19713
Phone (302) 683-0700

2600 Glasgow Ave
Ste 226
Newark, DE 19702
Phone (302) 836-3539

4745 Ogletown Stanton Rd
Ste 134
Newark, DE 19713
Phone (302) 452-3000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1588652069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 LIMESTONE RD",
            "address_2": "SUITE 5",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085553",
            "telephone_number": "302-995-1860",
            "fax_number": "302-995-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E MARSHALL ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804412",
            "telephone_number": "610-431-5472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2006 Limestone Rd",
            "address_2": "Suite #5",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198085553",
            "country_code": "US",
            "telephone_number": "302-995-1860",
            "fax_number": "302-995-5421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLDS",
        "first_name": "HEATHER",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024166422",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DE",
            "license": "L6-0A00487",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN524068L",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0034155",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001174340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.

Verify at the official NPI Registry.