Active NPI
Lana Rose Olson, LMT
- Massage Therapist
- Kapa'a, HI
National Provider Identifier
1720648637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 12742
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MAT-12742 | Other | HI | HAWAII 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12742 | HI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurturing Balance LLC. | Massage Therapist | Current | 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.