Active NPI
Corinne Faye Olivera, PA-C
- Medical Physician Assistant
- Anchorage, AK
National Provider Identifier
1003879222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 407
- Practice address
- 5005 Raspberry Rd
Building 9
Anchorage, AK 99502-1982 - Phone
- (907) 249-1276
- Fax
- (907) 249-1145
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 407 | AK | Primary |
Addresses
Primary practice location
5005 Raspberry Rd
Building 9
Anchorage, AK 99502-1982
Mailing address
PO Box 220176
Anchorage, AK 99522-0176
Phone (907) 248-5818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 407 | AK | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1003879222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 220176",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995220176",
"telephone_number": "907-248-5818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 RASPBERRY RD",
"address_2": "BUILDING 9",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995021982",
"telephone_number": "907-249-1276",
"fax_number": "907-249-1145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVERA",
"first_name": "CORINNE",
"middle_name": "FAYE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AK",
"license": "407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.