Individual provider Active NPI

Katiana Duran Oliveros, APRN

  • Family Nurse Practitioner
  • Ave Maria, FL
National Provider Identifier
1144041211
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11035586 Issued in FL
Practice address
5350 Ave Maria Blvd
Unit 120
Ave Maria, FL 34142
Phone
(239) 624-0468
Fax
(239) 624-0464
NPI assigned
Oct 22, 2024
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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 APRN11035586 FL Primary

Addresses

Primary practice location

5350 Ave Maria Blvd
Unit 120
Ave Maria, FL 34142

Mailing address

4929 Gambero Way
Ave Maria, FL 34142-5129
Phone (305) 316-4829

Other practice location 1

4929 Gambero Way
Ave Maria, FL 34142-5129
Phone (305) 316-4829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250403002284 FL Practitioner - Nurse Practitioner 5092239723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nchmd IncGroup PAC ID 9436139565, 503 clinicians

Practice addresses (Care Compare)

801 Vanderbilt Beach Rd
Naples, FL 34108-8708
Phone (239) 596-9482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11035586FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Mar 25, 2025 Accepting new patients
Nchmd Inc CurrentSince Mar 25, 2025 Accepting new patients

Locations

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

7717 Collier Blvd
Unit 102
Naples, FL 34114
Phone (239) 624-8290

801 Vanderbilt Beach Rd
Naples, FL 34108
Phone (239) 594-7636

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kduranoliveros103932@nchhealthcaresystem.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1144041211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 GAMBERO WAY",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341425129",
            "telephone_number": "305-316-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 AVE MARIA BLVD",
            "address_2": "UNIT 120",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "34142",
            "telephone_number": "239-624-0468",
            "fax_number": "239-624-0464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4929 Gambero Way",
            "address_purpose": "LOCATION",
            "city": "Ave Maria",
            "state": "FL",
            "postal_code": "341425129",
            "country_code": "US",
            "telephone_number": "305-316-4829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURAN OLIVEROS",
        "first_name": "KATIANA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11035586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ave Maria, FL

Sources for this page

Verify at the official NPI Registry.