Kristi Michelle Olivares, RN, MSN, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

686313 Issued in TX

Practice address

1314 E Sonterra Blvd
#5102
San Antonio, TX 78258-4278

Phone

(210) 490-8888

Fax

(210) 496-6865

NPI assigned

Jun 22, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baylor College of Medicine

  dba BCM Physicians of San Antonio

  • Pediatrics Physician
  • San Antonio, TX
  • NPI 1285079764
  Medicare reassignment NPD
• San Antonio a Thru Z Pediatrics PA

  • Pediatrics Physician
  • San Antonio, TX
  • NPI 1609931088
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1053549691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 E SONTERRA BLVD",
            "address_2": "#5102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584278",
            "telephone_number": "210-490-8888",
            "fax_number": "210-496-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 E SONTERRA BLVD",
            "address_2": "#5102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584278",
            "telephone_number": "210-490-8888",
            "fax_number": "210-496-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVARES",
        "first_name": "KRISTI",
        "middle_name": "MICHELLE",
        "credential": "RN, MSN, PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "686313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENSE NUMBER",
            "identifier": "686313",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Araceli Olivares, LCDC
• Bianca Olivares
• Daisy Michelle Olivares
• Eric Michale Olivares
• Estela Olivares, LICENSED MARRIAGE
• Patricia M Olivares, MD
• Rebecca A. Olivares, M.D.
• Rebecca Lynn Olivares, LCSW
• Roberto Miguel Olivares, DDS
• Audrey Rose Olivarez

• Pediatric Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.