Suzanne M Oliver, RN, CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

238908-21 Issued in MD

Practice address

401 Carlson Pkwy
Mail Route Cp320
Minnetonka, MN 55305-5359

Phone

(952) 992-2000

Fax

(952) 992-3039

NPI assigned

Oct 10, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Evercare Collaborative Solutions Inc

  • Registered Nurse
  • Minnetonka, MN
  • NPI 1285686378
  NPD (past)

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1902894348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40421 COUNTY ROAD 90",
            "city": "MAZEPPA",
            "state": "MN",
            "postal_code": "559569801",
            "telephone_number": "612-599-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CARLSON PKWY",
            "address_2": "MAIL ROUTE CP320",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055359",
            "telephone_number": "952-992-2000",
            "fax_number": "952-992-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "credential": "RN, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "238908-21",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804024900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nkechi Ogbodo, PT
• Laura Ogg, MOTR/L
• Omolara Y Okunfolami, NP
• Busurat Kikelomo Oladunjoye, NP
• Amber Marie Olfert, NMT, MT-BC
• Mason Nolan Olsansky
• Camryn Ann Olsen, BA
• Jennifer Annabeth Olsen, LMFT
• Andrew Clifford Olson, MD
• Bethany Olson

• Adult Health Nurse Practitioner in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Adult Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.