Olga Shalaurova, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5006530 Issued in NC

Practice address

1831 Lake Pine Dr Ste 200
Cary, NC 27511-6050

Phone

(919) 889-8569

NPI assigned

Oct 3, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AFFIBD
• FHIR API: https://api.platform.athenahealth.com/14693/brand/1/csg/1/fhir/r4

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.

• Wake Family Medicine PC

  • General Practice Physician
  • Cary, NC
  • NPI 1215162466
  Medicare reassignment NPD

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1649607607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 CHAPEL VALLEY LN",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024676",
            "telephone_number": "919-889-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 LAKE PINE DR STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116050",
            "telephone_number": "919-889-8569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16507 Northcross Dr",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280785082",
            "country_code": "US",
            "telephone_number": "704-248-0000",
            "fax_number": "877-335-8071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHALAUROVA",
        "first_name": "OLGA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5006530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC FNP LICENSE NUMBER",
            "identifier": "5006530",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649607607",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Courtney Shanahan, FNP
• Michael Shank
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• Nurse Practitioner in Cary, NC
• Providers in Cary, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.