Individual provider Active NPI

Lana Rose Olson, LMT

  • Massage Therapist
  • Kapa'a, HI
National Provider Identifier
1720648637
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
12742 Issued in HI
Practice address
4569 Kukui St Apt 203
Kapaa, HI 96746-1775
Phone
(808) 664-6040
Fax
(808) 650-3601
NPI assigned
Jun 13, 2019
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 12742 HI Primary
Doula 374J00000X

Addresses

Primary practice location

4569 Kukui St Apt 203
Kapaa, HI 96746-1775

Mailing address

4569 Kukui St Apt 203
Kapaa, HI 96746-1775
Phone (808) 664-6040

Other identifiers 1

IdentifierTypeStateIssuer
MAT-12742OtherHIHAWAII STATE MASSAGE BOARD

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

State licenses

LicenseStateTypeSpecialty
12742HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nurturing Balance LLC. Massage Therapist CurrentSince Feb 18, 2024 Accepting new patients

Organizations & group practices 1

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": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1720648637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4569 KUKUI ST APT 203",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461775",
            "telephone_number": "808-664-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4569 KUKUI ST APT 203",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461775",
            "telephone_number": "808-664-6040",
            "fax_number": "808-650-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "LANA",
        "middle_name": "ROSE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "12742",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII STATE MASSAGE BOARD",
            "identifier": "MAT-12742",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapa'a, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.