Kelli Lynn Olson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6761 Issued in MT

Practice address

1519 S Reserve St
Missoula, MT 59801-4755

Phone

(406) 549-2006

Fax

(406) 549-6574

NPI assigned

Mar 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Balanced Chiropractic, PC

  • Chiropractor
  • Helena, MT
  • NPI 1598203341
  Medicare reassignment NPD
• Matz Family Chiropractic, P.C.

  • Chiropractor
  • Missoula, MT
  • NPI 1285957019
  Medicare reassignment NPD

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1669057899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 S RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598014755",
            "telephone_number": "406-549-2006",
            "fax_number": "406-549-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 S RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598014755",
            "telephone_number": "406-549-2006",
            "fax_number": "406-549-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KELLI",
        "middle_name": "LYNN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "6761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA LICENSE",
            "identifier": "6761",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Byron Chapman Olson, MD
• Erica C Olson, MD
• Holly Christine Olson, LMT, NCTM
• Jill Anne Olson, P.T.
• Judith Elinor Olson, M.D.
• Larissa Olson, LCSW
• Linsey Patricia Olson, MSPT
• Mark Richard Olson, RN
• Anna Melissa Olsonoski, LCSW
• Laura Olsonoski, OTD

• Chiropractor in Missoula, MT
• Providers in Missoula, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.