Olive & Hazel Health, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OLIVE & HAZEL HEALTH, PLLC

Doing business as

Fourth Trimester Doc

Practice address

12105 29TH Ave N
Plymouth, MN 55441-2955

Phone

(651) 424-2241

NPI assigned

Aug 2, 2021

Last updated

Jun 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Spies Haggerty, DONPI 1154689578

Title

Owner/Founder/Physician

Phone

(612) 424-2241

Specialties & licenses 1

Addresses

Other names 1

• Fourth Trimester Doc Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Spies Haggerty, MD

  • Family Medicine Physician
  • Plymouth, MN
  • NPI 1154689578
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1629742903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12105 29TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412955",
            "telephone_number": "612-424-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12105 29TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412955",
            "telephone_number": "651-424-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE & HAZEL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "HAGGERTY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "SPIES",
        "authorized_official_title_or_position": "OWNER/FOUNDER/PHYSICIAN",
        "authorized_official_telephone_number": "612-424-2241",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fourth Trimester Doc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fourth Trimester Doc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Ann Oelschlaeger, PT
• Stacey Marie Ohumukini, OTR/L
• Mark K Okeefe
• Ifeoma Uchenna Okeke, DDS
• Jason Olinger, MD
• Kerry Ann Olson-Anderson, M.A., L.P.
• Alexander Mikkael Olson, DO
• Adam Olsson, PA
• Michaela M Olthoff, PT
• Ibrahim Abdullahi Omar, MD

• Family Medicine Physician in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.