Individual provider Active NPI

Angela Marie Olson, FNP

  • Family Nurse Practitioner
  • Fountain Hills, AZ
National Provider Identifier
1639854763
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
282715 Issued in AZ
Practice address
13771 N Fountain Hills Blvd # 114-103
Fountain Hills, AZ 85268-3762
Phone
(888) 662-3376
Fax
(786) 453-0383
NPI assigned
Jun 16, 2023
Last updated
Jun 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 282715 AZ Primary

Addresses

Primary practice location

13771 N Fountain Hills Blvd # 114-103
Fountain Hills, AZ 85268-3762

Mailing address

20100 N 78TH PL Apt 1110
Scottsdale, AZ 85255-3834
Phone (507) 236-7731

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermright LLC CurrentSince Jun 18, 2023 Accepting new patients

Locations

13771 N Fountain Hills Blvd
#114103
Fountain Hills, AZ 85268
Phone (888) 662-3376

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1639854763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20100 N 78TH PL APT 1110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553834",
            "telephone_number": "507-236-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13771 N FOUNTAIN HILLS BLVD # 114-103",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683762",
            "telephone_number": "888-662-3376",
            "fax_number": "786-453-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "282715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.