Individual provider Active NPI

Jessica Marie Olivarez, FNP-C

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1083258248
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP141105 Issued in TX
Practice address
11221 Katy Fwy Ste 115
Houston, TX 77079-2105
Phone
(800) 991-6117
Fax
(888) 812-8191
NPI assigned
Oct 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP141105 TX Primary

Addresses

Primary practice location

11221 Katy Fwy Ste 115
Houston, TX 77079-2105

Mailing address

3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893
Phone (800) 991-6117

Other practice location 1

3101 E President George Bush Hwy Ste 201
Richardson, TX 75082-3557
Phone (800) 991-6117

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201016001692 TX Practitioner - Nurse Practitioner 4284054008 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Srinivas Rao MD PAGroup PAC ID 8325275415, 17 clinicians

Practice addresses (Care Compare)

11221 Katy Fwy
Suite 115
Houston, TX 77079-2105
Phone (800) 991-6117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP141105TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Uvc Medical PLLC CurrentSince Jun 1, 2025 Accepting new patients
Srinivas Rao MD PA CurrentSince Jun 1, 2025 Accepting new patients

Locations

3820 Northdale Blvd
Ste 201
Tampa, FL 33624

635 Medical Pkwy
Brenham, TX 77833
Phone (979) 830-1444

610 Uptown Blvd
Ste 4500
Cedar Hill, TX 75104

3310 Live Oak St
Ste 410
Dallas, TX 75204

5858 Main St
Ste 140
Frisco, TX 75033
Phone (972) 403-9700

5801 Oakbend Trl
Ste 180
Ft Worth, TX 76132
Phone (817) 370-9010

1631 Lancaster Dr
Ste 200
Grapevine, TX 76051
Phone (817) 329-5433

11221 Katy Fwy
Ste 115
Houston, TX 77079
Phone (281) 888-1464

5585 Weslayan St
Houston, TX 77005
Phone (713) 240-4913

3333 Bayshore Blvd
Ste 260
Pasadena, TX 77504

1920 Country Place Pkwy
Ste 110
Pearland, TX 77584
Phone (281) 991-8346

3101 E President George Bush Hwy
Ste 130
Richardson, TX 75082

3101 E President George Bush Hwy
Ste 201
Richardson, TX 75082

4655 Sweetwater Blvd
Ste 675
Sugar Land, TX 77479

9303 Pinecroft Dr
Ste 350
The Woodlands, TX 77380
Phone (281) 292-0121

202 N Texas Ave
Ste 300
Webster, TX 77598
Phone (281) 513-1478

Interoperability endpoints

  • Direct secure messaging: jessica.olivarez@uvvc.eclinicaldirectplus.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1083258248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 NORTHDALE BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241893",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11221 KATY FWY STE 115",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792105",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 E President George Bush Hwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750823557",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVAREZ",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP141105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.