Active NPI
Anne Courtney Olson
- Private Vehicle
- Amarillo, TX
National Provider Identifier
1780066712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- FKP 5750
- Practice address
- 4105 Tucson Dr
Amarillo, TX 79109-5530 - Phone
- (806) 356-0747
- NPI assigned
- Jun 25, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | FKP 5750 | TX | Primary |
Addresses
Primary practice location
4105 Tucson Dr
Amarillo, TX 79109-5530
Mailing address
4105 Tucson Dr
Amarillo, TX 79109-5530
Phone (806) 356-0747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08020736 | Other | TX | DRIVER'S LICENSE |
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 |
|---|---|---|---|
| FKP 5750 | TX | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435190400000",
"number": "1780066712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4105 TUCSON DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791095530",
"telephone_number": "806-356-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4105 TUCSON DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791095530",
"telephone_number": "806-356-0747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "ANNE",
"middle_name": "COURTNEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-25",
"last_updated": "2015-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "TX",
"license": "FKP 5750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "08020736",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.