Active NPI
Ericia Michell Oliver, RN
- Registered Nurse
- Oklahoma City, OK
National Provider Identifier
1184058869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R104343
- Practice address
- 5401 SW 29TH St
Oklahoma City, OK 73179-7602 - Phone
- (405) 681-2003
- Fax
- (405) 681-2013
- NPI assigned
- Aug 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R104343 | OK | Primary |
Addresses
Primary practice location
5401 SW 29TH St
Oklahoma City, OK 73179-7602
Mailing address
5401 SW 29TH St
Oklahoma City, OK 73179-7602
Phone (405) 681-2003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R104343 | OK | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377734400000",
"number": "1184058869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 SW 29TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731797602",
"telephone_number": "405-681-2003",
"fax_number": "405-681-2013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 SW 29TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731797602",
"telephone_number": "405-681-2003",
"fax_number": "405-681-2013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "ERICIA",
"middle_name": "MICHELL",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-29",
"last_updated": "2013-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "R104343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.