Individual provider Active NPI

Kristi Olson

  • Exercise & Sports Psychologist
  • Scottsdale, AZ
National Provider Identifier
1669178026
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exercise & Sports PsychologistTaxonomy code 103TE1100X
Practice address
7585 E Redfield Rd Ste 105
Scottsdale, AZ 85260-6937
Phone
(480) 922-2820
NPI assigned
Feb 6, 2023
Last updated
Feb 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Exercise & Sports Psychologist 103TE1100X NU Primary
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

7585 E Redfield Rd Ste 105
Scottsdale, AZ 85260-6937

Mailing address

7429 Caldwell Canyon Rd
Snowflake, AZ 85937-5061

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

Practice roles

OrganizationSpecialtyStatusNew patients
Angels Home Care In Home Supportive Care CurrentSince Feb 12, 2023 Accepting new patients
Jiralogic, LLC Dba Firstlight Homecare of Scottsdale PastSince Feb 12, 2023 Accepting new patients

Locations

7585 E Redfield Rd
Ste 105
Scottsdale, AZ 85260
Phone (480) 922-2820

Organizations & group practices 2

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": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1669178026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7429 CALDWELL CANYON RD",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7585 E REDFIELD RD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606937",
            "telephone_number": "480-922-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KRISTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.