Active NPI
Nicholas J Olsen, HIS
- Hearing Instrument Specialist
- Birmingham, AL
National Provider Identifier
1629569330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2301
- Practice address
- 1930 Edwards Lake Rd Ste 114
Birmingham, AL 35235-3719 - Phone
- (205) 267-6110
- NPI assigned
- May 29, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2301 | AL | Primary |
Addresses
Primary practice location
1930 Edwards Lake Rd Ste 114
Birmingham, AL 35235-3719
Mailing address
PO Box 310901
Enterprise, AL 36331-0901
Phone (334) 393-6688
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 |
|---|---|---|---|
| 2301 | AL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Me Pivot Holdings, LLC | Hearing Instrument Specialist | Past | Accepting new patients |
| Southern Hearing Associates, Inc. | Hearing Instrument Specialist | Past | Accepting new patients |
| Menm, LLC | Hearing Instrument Specialist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1720060452
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- Hearing Instrument Specialist
- Statesboro, GA
- NPI 1396409876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1629569330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 310901",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363310901",
"telephone_number": "334-393-6688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 EDWARDS LAKE RD STE 114",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353719",
"telephone_number": "205-267-6110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "NICHOLAS",
"middle_name": "J",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-29",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "AL",
"license": "2301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.