Active NPI
Olanike Katibi, APRN-FNP
- Psychiatric/Mental Health Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP136598
- Practice address
- 1100 NW Loop 410 Ste 700
San Antonio, TX 78213-2258 - Phone
- (210) 441-6024
- Fax
- (210) 783-8321
- NPI assigned
- Oct 25, 2010
- Last updated
- Mar 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 136598 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP136598 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP136598 | TX | Primary |
Addresses
Primary practice location
1100 NW Loop 410 Ste 700
San Antonio, TX 78213-2258
Mailing address
1100 NW Loop 410 Ste 700
San Antonio, TX 78213-2258
Phone (210) 441-6024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1802 NE Loop
410 Suite 515
San Antonio, TX 78217-5206
Phone (210) 441-6024
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136598 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Oak Psychiatric and Family Practice, PLLC | Multi-Specialty | Current | Accepting new patients |
| Behavioral Health Services of New Mexico LLC | Multi-Specialty | Current | Accepting new patients |
| Behavioral Health Services of New Mexico LLC | Current | Accepting new patients |
Locations
1525 N Renaissance Blvd NE
Albuquerque, NM 87107
Phone (505) 243-3387
1100 NW Loop 410
Ste 700
San Antonio, TX 78213
Phone (210) 241-4954
1802 NE Loop 410
Ste 515
San Antonio, TX 78217
Phone (210) 441-6024
Interoperability endpoints
- okatibi1916089@nychhc.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- San Antonio, TX
- NPI 1003579913
Multi-Specialty
-
dba Central Desert Behavioral Health Center
- Psychiatric Hospital
- Albuquerque, NM
- NPI 1427330679
Multi-Specialty
-
dba Central Desert Behavioral Health Center
- Psychiatry Physician
- Albuquerque, NM
- NPI 1477913697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648166400000",
"number": "1063712081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 NW LOOP 410 STE 700",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782132258",
"telephone_number": "210-441-6024",
"fax_number": "210-783-8321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 NW LOOP 410 STE 700",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782132258",
"telephone_number": "210-441-6024",
"fax_number": "210-783-8321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATIBI",
"first_name": "OLANIKE",
"credential": "APRN-FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-25",
"last_updated": "2022-03-25",
"certification_date": "2022-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "136598",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP136598",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP136598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Kathia a. Ortiz-Cantillo MD PA
- Kathleen G. Halka, M.D., P.a.
- Kathleen Jane Lyssy MD PA
- Kathleen Torres, DDS, PLLC (Reality Bites Dental)
- Kathryn a. Wagner, MD, PA
- Kyle Labit Katigbak
- Bhoja R. Katipally, MD, MPH
- Rujuta Amol Katkar, B.D.S., M.D.S., M.S.
- Rashmi Suresh Katre, M.D.
- Ana Carolina Kattan, MA CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.