Active NPI
Amy Marie Olsen, D.C.
- Chiropractor
- Bremerton, WA
National Provider Identifier
1740302173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHOOO34085
- Practice address
- 3309 Perry Ave Ste 102
Bremerton, WA 98310-5369 - Phone
- (360) 478-9788
- Fax
- (360) 405-6255
- NPI assigned
- Apr 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHOOO34085 | WA | Primary |
Addresses
Primary practice location
3309 Perry Ave Ste 102
Bremerton, WA 98310-5369
Mailing address
3309 Perry Ave Ste 102
Bremerton, WA 98310-5369
Phone (360) 478-9788
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHOOO34085 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olsen Family Chiropractic | Chiropractor | Past | 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 and National Provider Directory roles.
-
- Chiropractor
- Gig Harbor, WA
- NPI 1154524023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740302173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3309 PERRY AVE STE 102",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983105369",
"telephone_number": "360-478-9788",
"fax_number": "360-405-6255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3309 PERRY AVE STE 102",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983105369",
"telephone_number": "360-478-9788",
"fax_number": "360-405-6255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "AMY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CHOOO34085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.