GARY MICHAEL OLSEN (NPI# 1952570293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952570293 |
| Entity Type | Individual |
| Full Name | GARY MICHAEL OLSEN |
| Credential | NP |
| Practice Address |
200 Hawthorne Ln Charlotte NC 28204-2515 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043845416 |
| Practice Fax Number | 7043845992 |
| Mailing Telephone | 7043845416 |
| Mailing Fax Number | 7043845992 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
930099 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942590765 | Gary Lloyd Olsen | Social Worker | 1816 First Street, Susanville, CA 96130-5110 | 2011-04-13 |
| 1992894570 | Gary Benjamin Olsen | Marriage & Family Therapist | 19045 Ne Hwy 305, Ste 120, Poulsbo, WA 98370 | 2006-10-12 |
| 1467493106 | Gary Lee Olsen | Pharmacist | 1401 Paul Bunyan Dr Nw, Bemidji, MN 56601-4155 | 2006-06-10 |
| 1023092293 | Gary D Olsen | Chiropractor | 12433 Fort St, Draper, UT 84020-9363 | 2005-12-01 |
| 1487152203 | Gary Olsen | Counselor | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2018-01-26 |
| 1679808760 | Gary Paul Olsen | Massage Therapist | 2560 E Fort Lowell Rd, Tucson, AZ 85716-1514 | 2009-10-08 |
| 1437232154 | Gary S Olsen | Clinical Neuropsychologist | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2006-10-24 |
| Street Address |
200 HAWTHORNE LN |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913128 | Patrick Aloysius Wilson | Pathology | 200 Hawthorne Ln, Presbyterian Hospital Department of Pathology, Charlotte, NC 28204-2515 | 2005-06-23 |
| 1649879479 | Lovina; Takon | Registered Nurse | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-10-22 |
| 1982203253 | Jaime Michelle Stanton Morris | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-10-19 |
| 1447864640 | Steven Cimijotti | Respiratory Therapist, Registered | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-09-04 |
| 1962015420 | Randall Lee Coffman | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-08-25 |
| 1083226062 | Jamie Tyo | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-08-20 |
| 1477171494 | Larson Vickery | Physician Assistant | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-07-07 |
| 1497378327 | Courtney Lynn Harper | Pharmacist | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-05-27 |
| 1760005094 | Kwame Adusei-mensah | Respiratory Therapist, Registered | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-05-21 |
| 1598388829 | Mark William Benfield | Respiratory Therapist, Registered | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548740160 | Oksana Kasko | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2018-08-14 |
| 1801211776 | Laura Ashley David | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2014-02-28 |
| 1053552091 | Janet Andrews Robnett | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2009-03-22 |
| 1003056763 | Adrienne Dunlap Lane | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2009-02-20 |
| 1437328705 | Therese G. Bertolette | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2008-02-21 |
| 1568631802 | Joanna Stommel Fletcher | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2008-02-20 |
| 1962671206 | Becky C. Demars | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2008-02-20 |
| 1952570202 | Wendy C. O'shields | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2008-02-20 |
| 1487823738 | Melissa B. Caldwell | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2008-02-20 |
| 1396855250 | Tracey Robertson Bell | Nurse Practitioner | 1001 Blythe Blvd, Medical Center Plaza, Suite 200, Charlotte, NC 28203-5866 | 2006-08-30 |
| Find all providers in CHARLOTTE | ||||
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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.