Active NPI
Tierra Catherine Oliver, FNP-BC
- Family Nurse Practitioner
- Middletown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 339069
- Practice address
- 60 Prospect Ave
Middletown, NY 10940-4133 - Phone
- (845) 637-9982
- NPI assigned
- Aug 20, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 339069 | NY | Primary |
Addresses
Primary practice location
60 Prospect Ave
Middletown, NY 10940-4133
Mailing address
3 Kensington MNR
Middletown, NY 10941-1800
Phone (456) 379-9828
Other practice location 1
9 Livingston St Ste 5
Poughkeepsie, NY 12601-4719
Phone (845) 454-0728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 339069 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modern Vascular, PLLC | Current | Accepting new patients | |
| Edward Timothy Okelley MD PC | Current | Accepting new patients | |
| Sunrise Psychological Services LLC | Current | Accepting new patients | |
| Visiting Services, LLC | Current | Accepting new patients | |
| Abundant Living Total Wellness LLC | Family | Current | Accepting new patients |
| Step Up Care PC LLC | Current | Accepting new patients |
Locations
46 Stony Hill Rd
Bethel, CT 06801
Phone (203) 207-4100
132 Federal Rd
Ste 107
Danbury, CT 06811
Phone (203) 470-9156
1165 King St
Greenwich, CT 06831
Phone (203) 531-1335
55 Grand St
New Britain, CT 06052
Phone (845) 459-5767
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
60 Prospect Ave
Middletown, NY 10940
Phone (845) 342-2424
155 Crystal Run Rd
Middletown, NY 10941
240 N Main St
Spring Valley, NY 10977
Phone (845) 374-0410
Interoperability endpoints
- tierra.oliver.1@24989.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Primary Care Clinic/Center
- Spring Valley, NY
- NPI 1083241392
-
- Counselor
- Danielson, CT
- NPI 1154884740
-
- Psychologist
- Prospect, CT
- NPI 1699199869
-
- Family Nurse Practitioner
- Middletown, NY
- NPI 1861351579
-
- Vascular Surgery Physician
- Ridgefield, CT
- NPI 1306421516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1063811529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 KENSINGTON MNR",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109411800",
"telephone_number": "456-379-9828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 PROSPECT AVE",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109404133",
"telephone_number": "845-637-9982"
}
],
"practiceLocations": [
{
"address_1": "9 Livingston St Ste 5",
"address_purpose": "LOCATION",
"city": "Poughkeepsie",
"state": "NY",
"postal_code": "126014719",
"country_code": "US",
"telephone_number": "845-454-0728",
"fax_number": "845-452-5807",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVER",
"first_name": "TIERRA",
"middle_name": "CATHERINE",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-20",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "339069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.