Individual provider Active NPI

Gazzie Olmstead

  • Behavior Technician
  • Columbus, IN
National Provider Identifier
1881492718
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-414788 Issued in IN
Practice address
2600 Sandcrest Blvd
Columbus, IN 47203-3053
Phone
(812) 994-9207
NPI assigned
Mar 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-25-414788 IN Primary

Addresses

Primary practice location

2600 Sandcrest Blvd
Columbus, IN 47203-3053

Mailing address

2600 Sandcrest Blvd
Columbus, IN 47203-3053
Phone (812) 994-9207

Other practice location 1

1501 W Tipton St
Seymour, IN 47274-2289
Phone (812) 413-9321

Other practice location 2

315 Washington St
Columbus, IN 47201-6743
Phone (812) 413-9321

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

LicenseStateTypeSpecialty
RBT-25-414788INMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Imprint Pediatric Therapy LLC. PastSince Mar 11, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1881492718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SANDCREST BLVD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033053",
            "telephone_number": "812-994-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SANDCREST BLVD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033053",
            "telephone_number": "812-994-9207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 W Tipton St",
            "address_purpose": "LOCATION",
            "city": "Seymour",
            "state": "IN",
            "postal_code": "472742289",
            "country_code": "US",
            "telephone_number": "812-413-9321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Washington St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472016743",
            "country_code": "US",
            "telephone_number": "812-413-9321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLMSTEAD",
        "first_name": "GAZZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-25-414788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.