Individual provider Active NPI

Charla Rhea Olson, APN

  • Family Nurse Practitioner
  • Morristown, TN
National Provider Identifier
1760761902
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000016008 Issued in TN
Practice address
220 Dr. Martin Luther King Pkwy
Morristown, TN 37813
Phone
(423) 587-1987
Fax
(423) 587-9252
NPI assigned
Aug 5, 2011
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000016008 TN Primary

Addresses

Primary practice location

220 Dr. Martin Luther King Pkwy
Morristown, TN 37813

Mailing address

220 Dr. Martin Luther King Pkwy
Morristown, TN 37813
Phone (423) 587-1987

Other identifiers 2

IdentifierTypeStateIssuer
1510583MedicaidTN
4188703OtherTNBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address charla.olson.1@3525.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171017001090 TN Practitioner - Nurse Practitioner 7618243882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthstar Physicians PCGroup PAC ID 5890690978, 89 clinicians

Practice addresses (Care Compare)

220 Dr Martin Luther King Pkwy
Morristown, TN 37813
Phone (423) 587-1987

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000016008TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Aug 23, 2017 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Healthstar Physicians, P.C. CurrentSince Sep 1, 2017 Accepting new patients
Healthstar Physicians PC CurrentSince Sep 1, 2017 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Aug 23, 2017 Accepting new patients
East Tennessee Primary Care Associates Past Accepting new patients
Anesthesia Services Associates, PLLC Past Accepting new patients

Locations

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

428 E Vann Rd
Greeneville, TN 37743
Phone (423) 278-1950

657 E Broadway Blvd
Ste C
Jefferson Cty, TN 37760
Phone (423) 586-1717

2 Professional Park Dr
Ste 15
Johnson City, TN 37604
Phone (423) 232-4867

420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443

5741 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 585-0686

Interoperability endpoints

  • Direct secure messaging: charla.olson.1@3525.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1760761902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 DR. MARTIN LUTHER KING PKWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "37813",
            "telephone_number": "423-587-1987",
            "fax_number": "423-587-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 DR. MARTIN LUTHER KING PKWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "37813",
            "telephone_number": "423-587-1987",
            "fax_number": "423-587-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "CHARLA",
        "middle_name": "RHEA",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000016008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510583",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4188703",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charla.olson.1@3525.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "420 W Morris Blvd",
            "city": "Morristown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378132283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.