Individual provider Active NPI

Nicholas J Olsen, HIS

  • Hearing Instrument Specialist
  • Birmingham, AL
National Provider Identifier
1629569330
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2301 Issued in AL
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

Updated by the provider on May 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2301ALMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.