Individual provider Active NPI

Kristen Marie Olson

  • Massage Therapist
  • Sonoma, CA
National Provider Identifier
1699325001
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
587 5TH St W
Sonoma, CA 95476-6831
Phone
(707) 935-1006
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X CA Primary

Addresses

Primary practice location

587 5TH St W
Sonoma, CA 95476-6831

Mailing address

1276 Oak Creek Dr
Sonoma, CA 95476-4012
Phone (707) 227-0088

Other practice location 1

1276 Oak Creek Dr
Sonoma, CA 95476-4012
Phone (707) 227-0088

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
Cathryn Charette DC a Chiropractic Corporation CurrentSince Sep 25, 2019 Accepting new patients
Dobson Chiropractic, Inc. CurrentSince Oct 14, 2020 Accepting new patients

Locations

587 5th St W
Sonoma, CA 95476
Phone (707) 935-1006

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1699325001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 OAK CREEK DR",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954764012",
            "telephone_number": "707-227-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 5TH ST W",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766831",
            "telephone_number": "707-935-1006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1276 Oak Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Sonoma",
            "state": "CA",
            "postal_code": "954764012",
            "country_code": "US",
            "telephone_number": "707-227-0088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonoma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.