Active NPI
Kimberly Robin Olson, R.D.
- Registered Dietitian
- San Francisco, CA
National Provider Identifier
1619019486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 850054
- Practice address
- 2425 Geary Blvd
5TH Floor
San Francisco, CA 94115-3358 - Phone
- (415) 833-4869
- NPI assigned
- Feb 12, 2007
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 850054 | CA | Primary |
Addresses
Primary practice location
2425 Geary Blvd
5TH Floor
San Francisco, CA 94115-3358
Mailing address
2425 Geary Blvd
5TH Floor
San Francisco, CA 94115-3358
Phone (415) 833-4869
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 |
|---|---|---|---|
| 850054 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1619019486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 GEARY BLVD",
"address_2": "5TH FLOOR",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153358",
"telephone_number": "415-833-4869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 GEARY BLVD",
"address_2": "5TH FLOOR",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153358",
"telephone_number": "415-833-4869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "KIMBERLY",
"middle_name": "ROBIN",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "850054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.