Individual provider Active NPI

Tierra Catherine Oliver, FNP-BC

  • Family Nurse Practitioner
  • Middletown, NY
National Provider Identifier
1063811529
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
339069 Issued in NY
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

Updated by the provider on Feb 21, 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 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, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180709001412 NY Practitioner - Nurse Practitioner 3173879004 Reassigns benefits to 2 organizations
I20181107002350 CT Practitioner - Nurse Practitioner 3173879004 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
339069NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Vascular, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Edward Timothy Okelley MD PC CurrentSince Mar 28, 2025 Accepting new patients
Sunrise Psychological Services LLC CurrentSince Jan 1, 2019 Accepting new patients
Visiting Services, LLC CurrentSince Apr 25, 2023 Accepting new patients
Abundant Living Total Wellness LLC Family Current Accepting new patients
Step Up Care PC LLC CurrentSince Apr 22, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.