Active NPI
Thomas Russell Olmsted, MD
- Psychiatry Physician
- Mountain Home, TN
National Provider Identifier
1740354752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD53590
- Practice address
- BLDG 52 Lake Drive
Mountain Home, TN 37684 - Phone
- (423) 439-8000
- Fax
- (423) 439-2200
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101237200 | VA | |
| Psychiatry Physician | 2084P0800X | MD53590 | TN | Primary |
Addresses
Primary practice location
BLDG 52 Lake Drive
Mountain Home, TN 37684
Mailing address
PO Box 699
Mountain Home, TN 37684-0699
Phone (423) 433-6039
Other practice location 1
120 Court St SE
Abingdon, VA 24210-3300
Phone (276) 628-4926
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD53590 | TN | MD | Psychiatry Physician |
| 0101237200 | VA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1740354752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 699",
"city": "MOUNTAIN HOME",
"state": "TN",
"postal_code": "376840699",
"telephone_number": "423-433-6039",
"fax_number": "423-433-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 52 LAKE DRIVE",
"city": "MOUNTAIN HOME",
"state": "TN",
"postal_code": "37684",
"telephone_number": "423-439-8000",
"fax_number": "423-439-2200"
}
],
"practiceLocations": [
{
"address_1": "120 Court St SE",
"address_purpose": "LOCATION",
"city": "Abingdon",
"state": "VA",
"postal_code": "242103300",
"country_code": "US",
"telephone_number": "276-628-4926",
"fax_number": "276-628-4936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLMSTED",
"first_name": "THOMAS",
"middle_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101237200",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "MD53590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Home, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.