ALICIA MARIE OLSON (NPI# 1639710593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639710593 |
| Entity Type | Individual |
| Full Name | ALICIA MARIE OLSON |
| Practice Address |
25844 10th St W Zimmerman MN 55398-8796 |
| Practice Telephone | 7632029054 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1101018 | MN | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619228 | Alicia Avery-rose Olson | Behavior Technician | 9115 Sw Oleson Rd Ste 100, Portland, OR 97223-6876 | 2019-09-24 |
| 1063079374 | Alicia Olson | Pharmacist | 1702 Santa Fe Dr, Weatherford, TX 76086-6420 | 2019-05-22 |
| 1902318447 | Alicia Marie Olson | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2017-10-24 |
| 1871010066 | Alicia May Olson | Nurse Practitioner | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2017-08-28 |
| 1669603171 | Alicia Nicole Olson | Surgery | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2009-07-31 |
| Street Address |
25844 10TH ST W |
| City | ZIMMERMAN |
| State | MN |
| Zip Code | 55398-8796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033206750 | Pine Ridge Dental Pa | Dentist | 26273 2nd St E, Suite A, Zimmerman, MN 55398 | 2006-10-06 |
| 1699850826 | Steven R Luginbill | Chiropractor | 26273 2nd St E, Zimmerman, MN 55398 | 2006-10-26 |
| 1346605425 | Kim I Evenson | Technician | 27911 Lake Diann Rd, Zimmerman, MN 55398-4268 | 2015-12-16 |
| 1073796322 | Life Senior Care Inc. | Home Health | 28347 112th St Nw, Zimmerman, MN 55398-4307 | 2007-12-10 |
| 1962525626 | Margery Ann Vetsch-peterson | Registered Nurse | 28347 112th St, Zimmerman, MN 55398-4307 | 2007-04-09 |
| 1346425543 | Open Harbors Inc. | Respite Care | 28347 112th St Nw, Zimmerman, MN 55398-4307 | 2008-01-07 |
| 1619367018 | Christy Jeanette White | Specialist/Technologist | 26479 Fremont Dr, Zimmerman, MN 55398-4566 | 2015-01-23 |
| 1306165618 | P&p Investors, Inc. | Psychologist | 25660 3rd St W, Suite 304, Zimmerman, MN 55398-4584 | 2010-05-26 |
| 1386709541 | Brian L Hoffmann | Chiropractor | 26250 2nd St W Ste 100, Zimmerman, MN 55398-4603 | 2006-12-27 |
| 1093125973 | Tyler Paul Roehl | Chiropractor | 15225 295th Ave Nw, Zimmerman, MN 55398-4657 | 2014-05-01 |
| Find all providers in zip 55398 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205478849 | Jobs Wholeness House of Prosperity | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 123 Garner Cir, Montrose, MN 55363-8598 | 2019-10-15 |
| 1841764768 | Stepping Out Incorporated | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 603 3rd St W, Hastings, MN 55033-1127 | 2019-01-14 |
| 1841652898 | Faiza Hassan | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10917 Humboldt Ave S, Bloomington, MN 55431-4221 | 2016-03-28 |
| 1801293444 | Shelly Olson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5448 W Island Lake Rd, Duluth, MN 55803-8405 | 2014-11-25 |
| 1306190509 | Ronald Allen Synstelien | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 607 E Fir Ave, Fergus Falls, MN 56537-1503 | 2012-11-09 |
| 1023360559 | North Homes, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 324 W Superior St Ste 400, Medical Arts Building, Duluth, MN 55802-1726 | 2012-10-08 |
| 1073742383 | Lutheran Social Service of Minnesota | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 198 Penny Lane, Leroy, MN 55951 | 2009-07-08 |
| 1952549925 | Coleman Investment | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4001 Willow Rd N, Brooklyn Park, MN 55443-1239 | 2009-01-29 |
| 1942467683 | Total Living Commitment, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 203 Woodduck Cir, Delano, MN 55328-9779 | 2008-05-20 |
| 1922285576 | Lakes Homes and Program Development, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1118 West Ave, Detroit Lakes, MN 56501-3210 | 2008-01-25 |
| Find all providers with the same taxonomy | ||||
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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.