Active NPI
Cynthia Olsson, CRNP
- Nurse Practitioner
- Birmingham, AL
National Provider Identifier
1841292729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0149628
- Practice address
- 100 Pilot Medical Dr
Suite 300
Birmingham, AL 35235-3411 - Phone
- (205) 856-2284
- Fax
- (205) 815-4777
- NPI assigned
- Aug 11, 2005
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0149628 | AL | Primary |
Addresses
Primary practice location
100 Pilot Medical Dr
Suite 300
Birmingham, AL 35235-3411
Mailing address
100 Pilot Medical Dr
Suite 300
Birmingham, AL 35235-3411
Phone (205) 856-2284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190470 | Medicaid | AL |
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
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0149628 | AL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1841292729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PILOT MEDICAL DR",
"address_2": "SUITE 300",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353411",
"telephone_number": "205-856-2284",
"fax_number": "205-815-4777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PILOT MEDICAL DR",
"address_2": "SUITE 300",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353411",
"telephone_number": "205-856-2284",
"fax_number": "205-815-4777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSSON",
"first_name": "CYNTHIA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-11",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "0149628",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190470",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.