Mary B Olickan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP130630 Issued in TX

Practice address

2100 Preston St
Richmond, TX 77469-1419

Phone

(281) 232-2075

NPI assigned

Jun 13, 2016

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Health and Human Services Commission

  • Clinical Neuropsychologist
  • Harlingen, TX
  • NPI 1356414692
  Medicare reassignment NPD
• Health and Human Services Commission

  • Intellectual Disabilities Intermediate Care Facility
  • El Paso, TX
  • NPI 1679652440
  NPD
• Health and Human Services Commission

  • Psychiatric Hospital
  • Big Spring, TX
  • NPI 1881600682
  NPD

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1154771962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 WHITNEY OAKS LN",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774771448",
            "telephone_number": "832-475-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PRESTON ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774691419",
            "telephone_number": "281-232-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLICKAN",
        "first_name": "MARY",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olanrewaju Olagunju, RN, BSN, MBA
• Uche Olateru, DNP, FNP
• Mutiat Temitope Olawunmi, PMHNP
• Taiye Olaniyi Olayemi, SOLE PROPRIETOR
• Raquel Olguin, LCSW
• Franca Oligbo
• Lillian W Oliver, RN, MSN
• Ifeyinwa Christina Olloh
• Jaime Olmo Jr., LSA
• Obiageli Olofinmoyin, FNP

• Family Nurse Practitioner in Richmond, TX
• Providers in Richmond, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.