Kara Kerise Olsen, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71537 Issued in ID

Practice address

1155 Pocatello Creek Rd Ste a
Pocatello, ID 83201-2949

Phone

(208) 223-8898

NPI assigned

Dec 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1639267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1700545209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 STONERIDGE DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015043",
            "telephone_number": "208-317-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 POCATELLO CREEK RD STE A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012949",
            "telephone_number": "208-223-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "KARA",
        "middle_name": "KERISE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-12",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "51885",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "71537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley J Olenick, AU.D.
• Kathleen Olivarez
• Rachelle Oliverson, MPT
• Blaine Olsen, D.O.
• Erin L Olsen, PTA
• Lynn David Olsen
• Matthew B Olsen, LCSW
• Misty Danielle Olsen, LPC
• Kerry Olson
• Molly Olson, BA

• Family Nurse Practitioner in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.