Stacy Dimas Olson

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

4025 NW 23Rd St Apt 203
Oklahoma City, OK 73107-2747

Phone

(405) 385-3737

NPI assigned

Jun 26, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1750763702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 NW 23RD ST APT 203",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072747",
            "telephone_number": "405-385-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 NW 23RD ST APT 203",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072747",
            "telephone_number": "405-385-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAS OLSON",
        "first_name": "STACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Emily Dillard, DDS
• Dillard's, Inc.
• Jennie Dilley
• Paula Allene Dillingham, PHARM.D.
• Paul Lee Dillon, M.D.
• Christos Dimas, MD
• Cynthia Lynne Dimauro, M.D.
• Nina Dimauro, MD
• Nfimirabel Dimla Epse Ofe
• Jennifer Ann Dimmer, APRN

• Peer Specialist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.