TAMARA CLARE OLSON FNP NPI 1205023199

NPI Information

  • NPI: 1205023199
  • Provider Name: TAMARA CLARE OLSON, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3900 E BRISTOL ST
    ELKHART, IN
    ZIP 46514
  • Phone: (800) 635-5516

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NPI Details

Tamara Clare Olson, FNP is a family nurse practitioner in Elkhart, IN. Tamara Clare Olson, FNP NPI is 1205023199. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3900 E BRISTOL ST
ELKHART, IN
ZIP 46514-466
Phone: (800) 635-5516

The NPI 1205023199 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/25/2007 and was last updated on 6/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily28143592AINDIANANo
2363LF0000XNurse PractitionerFamily71002496AKANSASNo
3363LF0000XNurse PractitionerFamily71002496AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000550790OTHERINDIANABCBS BMG MEDPOINT
2000000550637OTHERINDIANABCBS MEDPOINT
3200899990MEDICAIDINDIANA
4000000635078OTHERINDIANABCBS BMG CENTRAL NEIGHBORHOOD
5P00784113OTHERINDIANARR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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