MRS. ANDREA LEE FRY OLSON (NPI# 1316304769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316304769 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA LEE FRY OLSON |
| Credential | AG-ACNP, BC |
| Practice Address |
2728 Sunset Blvd Ste 300 West Columbia SC 29169-4815 |
| Mailing Address |
470 Hulon Lane Attn: Vp - Revenue Cycle West Columbia SC 29169-4815 |
| Practice Telephone | 8037444940 |
| Practice Fax Number | 8037444938 |
| Mailing Telephone | 8037444940 |
| Mailing Fax Number | 8037444938 |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
19948 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134697972 | Andrea A Olson | Registered Nurse | 1020 N Appleton St, Appleton, WI 54911-4403 | 2018-11-09 |
| 1336688621 | Andrea Olson | Occupational Therapist | 4105 Lantana Rd, Crossville, TN 38572-1749 | 2017-02-20 |
| 1528324860 | Andrea M Olson | Occupational Therapist | 211 S Whitney Way, Madison, WI 53705-4605 | 2012-04-11 |
| 1699393983 | Andrea Olson | Physical Therapist | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2020-07-13 |
| 1053941815 | Andrea Olson | Case Manager/Care Coordinator | 440 Amherst St, Nashua, NH 03063-1225 | 2020-01-21 |
| 1104276005 | Andrea Olson I | Massage Therapist | 1222 Se Division St, Portland, OR 97202-1017 | 2016-06-21 |
| 1588033476 | Andrea Danielle Olson | Social Worker | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2015-09-21 |
| 1033538210 | Andrea Olson | Social Worker | 5334 Williams Dr, Roscoe, IL 61073-7320 | 2014-04-15 |
| 1225377310 | Andrea Olson | Counselor | 1931 Center St, Berkeley, CA 94704-1105 | 2013-02-08 |
| 1700194925 | Andrea Nicole Olson | Dietitian, Registered | 1415 S Division St, Salisbury, MD 21804-7291 | 2010-09-22 |
| Street Address |
2728 SUNSET BLVD STE 300 |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-4815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881667897 | Mitchell Wells Jacocks | Internal Medicine | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2006-02-09 |
| 1083211312 | Lexington Health Inc | Internal Medicine | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2020-10-09 |
| 1770116477 | Jamie L Odom | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2020-02-20 |
| 1033742531 | Keelin Jamaal Golden-maldonado | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2020-02-13 |
| 1912544198 | Casey Hendrix Purcell | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2019-12-05 |
| 1588200661 | Kaitlyn A Keenan | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2019-11-22 |
| 1770128613 | Lisa Mondo Davis | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2019-11-14 |
| 1265077622 | Rachel S Fogarty | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2019-11-08 |
| 1275093155 | Nyesha Nicole Hall | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2019-03-25 |
| 1700345303 | Kristina Allane Bristow | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2019-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932601903 | Jamie Andrews Odom | Nurse Practitioner | 2720 Sunset Blvd Ste 300, West Columbia, SC 29169-4810 | 2018-03-06 |
| 1336524115 | Mary C Ward | Nurse Practitioner | 3316 Plattsprings Rd, West Columbia, SC 29170 | 2015-07-22 |
| 1205072808 | Gerlanda Derr | Nurse Practitioner | 1053 Center St, West Columbia, SC 29169-6749 | 2009-01-02 |
| 1891306205 | Sarah Peden | Nurse Practitioner | 222 E Medical Ln Ste 400, West Columbia, SC 29169-4848 | 2020-08-11 |
| 1356969778 | Tiffany Ann Christian | Nurse Practitioner | 1053 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2020-07-13 |
| 1770116477 | Jamie L Odom | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2020-02-20 |
| 1033742531 | Keelin Jamaal Golden-maldonado | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2020-02-13 |
| 1912544198 | Casey Hendrix Purcell | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2019-12-05 |
| 1588200661 | Kaitlyn A Keenan | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2019-11-22 |
| 1770128613 | Lisa Mondo Davis | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2019-11-14 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
Please comment or provide details below to improve the information on MRS. ANDREA LEE FRY OLSON.
| 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.