Active NPI
Candice Olson, RSPS
- Peer Specialist
- Houston, TX
National Provider Identifier
1962225086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 1763-0423
- Practice address
- 5600 NW Central Dr Ste 107
Houston, TX 77092-2034 - Phone
- (346) 775-5315
- NPI assigned
- Nov 6, 2024
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 1763-0423 | TX | Primary |
Addresses
Primary practice location
5600 NW Central Dr Ste 107
Houston, TX 77092-2034
Mailing address
5600 NW Central Dr Ste 107
Houston, TX 77092-2034
Phone (346) 775-5315
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1763-0423 | Other | TX | COMMERCIAL INSURANCE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1763-0423 | TX | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1962225086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 NW CENTRAL DR STE 107",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770922034",
"telephone_number": "346-775-5315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 NW CENTRAL DR STE 107",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770922034",
"telephone_number": "346-775-5315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "CANDICE",
"credential": "RSPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-06",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "TX",
"license": "1763-0423",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL INSURANCE",
"identifier": "1763-0423",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.