Bertha W Oliver

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Practice address

810 Van Buren St
Jacksonville, FL 32206-5782

Phone

(904) 610-5548

Fax

(904) 356-2158

NPI assigned

Apr 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1154687523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 VAN BUREN ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322065782",
            "telephone_number": "904-610-5548",
            "fax_number": "904-356-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 VAN BUREN ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322065782",
            "telephone_number": "904-610-5548",
            "fax_number": "904-356-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "BERTHA",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olive Branch Way PLLC
• Isabella Cristina Oliveira, PHARMD
• Aaron Joseph Oliver
• Alaria Oliver
• Ashley Oliver, LICSW
• Courtney Oliver, LCSW
• Diana L Oliver, ARNP
• Ericika Oliver
• Jessica Oliver, OTR
• Marcia Oliver, PMHNP-BC

• Home Modifications Contractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Modifications Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.