Tri-Cities Diabetes PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

TRI-CITIES DIABETES PLLC

Practice address

1305 Mansfield St Ste 4
Richland, WA 99352-3588

Phone

(509) 946-6124

NPI assigned

Nov 25, 2024

Last updated

Nov 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gloria Olsson, ARNPNPI 1316516073

Title

Arnp

Phone

(509) 946-6124

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gloria Olsson

  • Nurse Practitioner
  • Richland, WA
  • NPI 1316516073
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1871319806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 MANSFIELD ST STE 4",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523588",
            "telephone_number": "509-946-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 MANSFIELD ST STE 4",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523588",
            "telephone_number": "509-946-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES DIABETES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-24",
        "status": "A",
        "authorized_official_last_name": "OLSSON",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "509-946-6124",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-Cities Chaplaincy (Tri-Cities Chaplaincy Supportive Care)
• Tri-Cities Community Health
• Tri-Cities Community Health
• Tri-Cities Community Health (TCCH Pharmacy-Richland)
• Tri-Cities Community Health
• Tri-Cities Digestive Health Center, P.S.
• Tri-Cities Laboratory LLC
• Tri-Cities Laboratory LLC
• Tri-Cities Marital and Family Therapy
• Tri-Cities Nephrology, LLC

• Nurse Practitioner in Richland, WA
• Providers in Richland, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.