Active NPI
Katherine Blythe Oakley Olson, DO
- Student in an Organized Health Care Education/Training Program
- Dothan, AL
National Provider Identifier
1942995642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- L.6238R
- Practice address
- 1108 Ross Clark Cir Ste 210
Dothan, AL 36301-3022 - Phone
- (334) 712-3329
- NPI assigned
- Apr 7, 2023
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | L.6238R | AL | Primary |
Addresses
Primary practice location
1108 Ross Clark Cir Ste 210
Dothan, AL 36301-3022
Mailing address
5048 Maysville Rd
New Market, AL 35761-9006
Phone (256) 684-0572
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L.6238R | AL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1942995642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5048 MAYSVILLE RD",
"city": "NEW MARKET",
"state": "AL",
"postal_code": "357619006",
"telephone_number": "256-684-0572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 ROSS CLARK CIR STE 210",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013022",
"telephone_number": "334-712-3329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "KATHERINE",
"middle_name": "BLYTHE OAKLEY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-07",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AL",
"license": "L.6238R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.