Damaris A Olsen, PHD, RN, MSN

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

TNP0000001198 Issued in TN

Practice address

5516 Lonas Dr., BLDG II
Suite 250
Knoxville, TN 37909-3247

Phone

(865) 588-7132

Fax

(865) 558-5967

NPI assigned

Jul 5, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Doctor of Philosophy, Registered Nurse

State licenses

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1609873884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 LONAS DR., BLDG II",
            "address_2": "SUITE 250",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093247",
            "telephone_number": "865-588-7132",
            "fax_number": "865-558-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5516 LONAS DR., BLDG II",
            "address_2": "SUITE 250",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093247",
            "telephone_number": "865-588-7132",
            "fax_number": "865-558-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "DAMARIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD, RN, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "TNP0000001198",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "TN",
            "license": "TNRN0000028104",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "MDGL0004",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P0000001198",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3687897",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST, BOARD OF EX",
            "identifier": "P0000001198",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry Inez Oliver, P.T.
• Taylor Oliver, BCBA, LBA
• Stepfanie Olivio
• G Stephen Ollard
• Andrea Maria Ollhoff, MS, CRC
• Kimberly Olsen, FNP
• Alaina Olson, OTD, OTR/L
• Amy S Olson, NP
• April Olson, BS
• Cheryl Olson, PTA

• Clinical Psychologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.