Active NPI
Carla Nichole Olson, NP
- Nurse Practitioner
- Fargo, ND
National Provider Identifier
1609894203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R27484
- Practice address
- 19 8TH St S # 514
Fargo, ND 58103-1804 - Phone
- (701) 361-0628
- NPI assigned
- Jul 18, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R27484 | ND | Primary |
Addresses
Primary practice location
19 8TH St S # 514
Fargo, ND 58103-1804
Mailing address
19 8TH St S # 514
Fargo, ND 58103-1804
Phone (701) 361-0628
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
| License | State | Type | Specialty |
|---|---|---|---|
| R27484 | ND | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1609894203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 8TH ST S # 514",
"city": "FARGO",
"state": "ND",
"postal_code": "581031804",
"telephone_number": "701-361-0628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 8TH ST S # 514",
"city": "FARGO",
"state": "ND",
"postal_code": "581031804",
"telephone_number": "701-361-0628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "CARLA",
"middle_name": "NICHOLE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ND",
"license": "R27484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.