Individual provider Active NPI

Jamie Lee Olsen, FNP-BC

  • Nurse Practitioner
  • Mineral Wells, TX
National Provider Identifier
1609392810
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP135432 Issued in TX
Practice address
2517 Highway 180 E Ste B
Mineral Wells, TX 76067
Phone
(940) 328-7517
NPI assigned
Aug 18, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP135432 TX Primary
Emergency Registered Nurse 163WE0003X 793561 TX

Addresses

Primary practice location

2517 Highway 180 E Ste B
Mineral Wells, TX 76067

Mailing address

6191 FM 1189
Weatherford, TX 76087-5525
Phone (605) 890-0528

Other practice location 1

6191 FM 1189
Weatherford, TX 76087
Phone (605) 890-0528

Other practice location 2

1421 Fm 1189 Ste 7
Brock, TX 76087-0721
Phone (605) 890-0528

Other practice location 3

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (605) 890-0528

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
793561TXMDEmergency Registered Nurse
AP135432TXMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609392810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6191 FM 1189",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760875525",
            "telephone_number": "605-890-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 HIGHWAY 180 E STE B",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "76067",
            "telephone_number": "940-328-7517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6191 FM 1189",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "76087",
            "country_code": "US",
            "telephone_number": "605-890-0528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1421 Fm 1189 Ste 7",
            "address_purpose": "LOCATION",
            "city": "Brock",
            "state": "TX",
            "postal_code": "760870721",
            "country_code": "US",
            "telephone_number": "605-890-0528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 Paluxy Rd",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760485655",
            "country_code": "US",
            "telephone_number": "605-890-0528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "JAMIE",
        "middle_name": "LEE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP135432",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "TX",
            "license": "793561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Wells, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.