ALICIA MARIE OLSEN (NPI# 1164876702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164876702 |
| Entity Type | Individual |
| Full Name | ALICIA MARIE OLSEN |
| Practice Address |
17 Lansing St Auburn NY 13021-1983 |
| Practice Telephone | 3152557011 |
| Mailing Telephone | 3152557011 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 0086041 | NY | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | STATE OF NEW YORK EDUCATION DEPARTMENT | 0086041 | 01 |
| COMMISSION ON DIETETIC REGISTRATION | 86032629 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 177 W 4th St, Oswego, NY 131263009 | 3153432151 |
| Street Address |
17 LANSING ST |
| City | AUBURN |
| State | NY |
| Zip Code | 13021-1983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093712911 | Auburn Community Hospital | General Acute Care Hospital | 17 Lansing St, Auburn, NY 13021-1983 | 2005-07-07 |
| 1225659964 | Auburn Community Hospital-hospitalist Service | Internal Medicine | 17 Lansing St, Auburn, NY 13021-1983 | 2020-05-05 |
| 1881187573 | Ashley Crosby | Speech-Language Pathologist | 17 Lansing St, Auburn, NY 13021-1983 | 2018-06-07 |
| 1841715810 | Victoria Carhart | Psychologist | 17 Lansing St, Va Clinic, Auburn, NY 13021-1983 | 2017-08-10 |
| 1245779065 | Heather Milton | Social Worker | 17 Lansing St, Auburn, NY 13021-1983 | 2017-02-13 |
| 1508317330 | Jeffrey Obrien | Nurse Practitioner | 17 Lansing St, Auburn, NY 13021-1983 | 2016-10-17 |
| 1760849848 | Jennifer Lee Ambrose | Registered Nurse | 17 Lansing St, Auburn, NY 13021-1983 | 2016-01-21 |
| 1790155174 | Stephanie Anne Mix | Physician Assistant | 17 Lansing St, Auburn, NY 13021-1983 | 2015-09-29 |
| 1316323868 | Matt G Marko | Physician Assistant | 17 Lansing St, Auburn, NY 13021 | 2015-08-07 |
| 1588067847 | Shehzad Khizar | Internal Medicine | 17 Lansing St, Auburn, NY 13021-1983 | 2014-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821631078 | Anthony Marino | Counselor | 319 Water St, Syacuse, NY 13021 | 2019-10-21 |
| 1205343811 | Cayuga County Community Health Network, Inc. | Community/Behavioral Health | 2119 W Genesee Street Rd, Auburn, NY 13021 | 2018-01-04 |
| 1427570365 | Sara K Gatewood | Licensed Practical Nurse | 124 Dawson Ave, Auburn, NY 13021 | 2017-07-12 |
| 1407385867 | Trisha Lee South | Registered Nurse | 278 Seymour St, Auburn, NY 13021 | 2017-06-08 |
| 1093263782 | Elizabeth Michelle Smith | Licensed Practical Nurse | 64 Cottage Street, Auburn, NY 13021 | 2016-09-12 |
| 1710360649 | Podiatry Services of Central New York, PC | Podiatrist | 171 Grant Ave, Auburn, NY 13021 | 2015-07-09 |
| 1518361484 | Edward J Currier | Counselor | 34 Wright Ave, Auburn, NY 13021 | 2014-10-21 |
| 1821499815 | Betsi Algar | Licensed Practical Nurse | 22 Scammell Ave, Auburn, NY 13021 | 2014-09-09 |
| 1235554734 | Jodi Saurini | Licensed Practical Nurse | 31 Anderson Circle, Auburn, NY 13021 | 2014-02-20 |
| 1124459896 | Bridget Reilly | Clinic/Center | 210 South Hoopes Ave, Auburn, NY 13021 | 2013-12-06 |
| Find all providers in zip 13021 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245872688 | Taylor Renae Kerr | Dietitian, Registered | 4244 County Line Rd, Auburn, NY 13021-9234 | 2019-10-16 |
| 1033751813 | Amanda Lynn Spies | Dietitian, Registered | 826 Tullahoma Dr, Auburn, AL 36830-3214 | 2019-10-13 |
| 1346809993 | Lisa Lombardini | Dietitian, Registered | 482 Southbridge St # 333, Auburn, MA 01501-2468 | 2019-06-07 |
| 1952865636 | Jamie Keel | Dietitian, Registered | 2780 Allen Dr, Auburn, CA 95602-9649 | 2019-01-26 |
| 1477024537 | Kayla R Kranz | Dietitian, Registered | 202 N. Division Street, Mailstop: 202-c1-ns, Auburn, WA 98001 | 2018-12-16 |
| 1659846087 | Jason Gilleland | Dietitian, Registered | 258 Tallyho Dr, Auburn, AL 36832 | 2018-10-12 |
| 1588192199 | Jessica-lauren Roberts Newby | Dietitian, Registered | 2120 Felicity Ln, Auburn, AL 36830-2901 | 2017-05-25 |
| 1851634679 | Mallory Jean Jacobs | Dietitian, Registered | 4681 Stephanie St, Auburn, MI 48611-9219 | 2013-03-29 |
| 1245513126 | Kelsey Tate Weinhold | Dietitian, Registered | 901 Auburn Way N, Suite A, Auburn, WA 98002-4100 | 2011-09-27 |
| 1447554464 | Jessica Deneke | Dietitian, Registered | 1829 Firestone Court, Auburn, AL 36830 | 2011-01-05 |
| Find all providers in AUBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.