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MS. EMMA KATHERINE OLSEN M.S.
NPI 1639550627
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since June 15, 2015PECOS EnrolledAccepts Medicare Assignment
390 40TH ST, OAKLAND, CA 94609(510) 613-0330(510) 569-4589 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Emma Katherine Olsen M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. EMMA KATHERINE OLSEN M.S. (NPI 1639550627) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Alameda, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639550627
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. EMMA KATHERINE OLSENCredential: M.S.
Location Address390 40TH STOakland, CA 94609-2633
Mailing Address390 40th StOakland, CA 94609-2633 · (510) 613-0330 · Fax (510) 569-4589
Phone(510) 613-0330
Fax(510) 569-4589
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 15, 2015
Last NPPES UpdateAugust 15, 2019
✔ NPI 1639550627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
390 40TH ST, Oakland, CA 94609
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Secondary Practice Location 1

Location 1559 Buena Vista Ave, Apt. 206Alameda, CA 94501-2083 · Phone (407) 965-6312

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Emma Katherine Olsen M.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002354164
PECOS Enrollment IDI20240820003178
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THUYMINH NGUYEN
Marriage & Family Therapist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 653-5040
NOAH MERL
Social Worker
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 653-5040
VIRGIL GABA BAGAOISAN
Counselor (Addiction (Substance Use Disorder))
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 306-5361
DANIELLE CHRISJAN STAUFFER
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 723-1907
KIMBERLY ESPINOZA
Peer Specialist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
AUJANAE JACKSON
Peer Specialist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
KIMBERLY JANE GATLIN
Adult Companion
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
SHALIMAR FAYEZ BOULOS LCSW, MSW, MPH
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emma Olsen's NPI number?

The NPI number for Emma Olsen is 1639550627. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Emma Olsen located?

Emma Olsen practices at 390 40th St, Oakland, CA 94609. The listed phone number is (510) 613-0330.

What is Emma Olsen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Emma Olsen enrolled in Medicare?

Yes. Emma Olsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Emma Olsen was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.