Individual provider Active NPI

Olivia Lee Myers, MS, APRN, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1053929422
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1000165 Issued in TX
Practice address
3500 W 7TH St
Fort Worth, TX 76107-2532
Phone
(817) 632-5400
Fax
(817) 632-5404
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1000165 TX Primary

Addresses

Primary practice location

3500 W 7TH St
Fort Worth, TX 76107-2532

Mailing address

3500 W 7TH St
Fort Worth, TX 76107-2532
Phone (817) 632-5400

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)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1000165TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
T Off Men'S Health CurrentSince Apr 16, 2023 Accepting new patients
Texas Regional Asthma & Allergy Center PastSince Mar 1, 2021 Accepting new patients

Locations

3500 W 7th St
Fort Worth, TX 76107
Phone (817) 632-5400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1053929422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W 7TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072532",
            "telephone_number": "817-632-5400",
            "fax_number": "817-632-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W 7TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072532",
            "telephone_number": "817-632-5400",
            "fax_number": "817-632-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "OLIVIA",
        "middle_name": "LEE",
        "credential": "MS, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1000165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.