Individual provider Active NPI

Christina Maura Deoliveira, ARNP

  • Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1093149346
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60410654 Issued in WA
Practice address
2004 Fairview Ave
Seattle, WA 98121-2704
Phone
(206) 749-0169
NPI assigned
Aug 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60042049 WA
Nurse Practitioner 363L00000X AP60410654 WA Primary

Addresses

Primary practice location

2004 Fairview Ave
Seattle, WA 98121-2704

Mailing address

2004 Fairview Ave
Seattle, WA 98121-2704
Phone (206) 749-0169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, HI2 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
I20170323002053 WA Practitioner - Nurse Practitioner 8729363296 Reassigns benefits to 3 organizations
I20201228001967 HI Practitioner - Nurse Practitioner 8729363296

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60042049WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Overlake Medical Clinics, LLC CurrentSince Mar 20, 2017 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Oct 1, 2021 Accepting new patients
Overlake Medical Clinics LLC CurrentSince Mar 20, 2017 Accepting new patients
Parabolic Health PLLC CurrentSince Sep 16, 2023 Accepting new patients
King County Public Hospital District No 2 CurrentSince Oct 1, 2021 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
King County Public Hospital District No 2 Past Accepting new patients
Seattle Physical Medicine Nurse Practitioner Past Accepting new patients

Locations

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

1750 112th Ave NE
Ste A101
Bellevue, WA 98004
Phone (425) 688-5234

805 Front St S
Issaquah, WA 98027
Phone (206) 390-8645

12303 NE 130th Ln
Ste 550
Kirkland, WA 98034
Phone (425) 899-3224

Organizations & group practices 8

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": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1093149346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 FAIRVIEW AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212704",
            "telephone_number": "206-749-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 FAIRVIEW AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212704",
            "telephone_number": "206-749-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEOLIVEIRA",
        "first_name": "CHRISTINA",
        "middle_name": "MAURA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60042049",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60410654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.