Individual provider Active NPI

Cathy Annette Olinger, C.N.M.,F.N.P.

  • Family Nurse Practitioner
  • Fort Payne, AL
National Provider Identifier
1184764912
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-055018 Issued in AL
Practice address
205 Grand Ave NW
Ste a
Fort Payne, AL 35967-2107
Phone
(256) 635-6600
Fax
(256) 635-6601
NPI assigned
Feb 8, 2007
Last updated
Apr 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000006371 TN
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 081283 TN
Family Nurse Practitioner 363LF0000X 1-055018 AL Primary

Addresses

Primary practice location

205 Grand Ave NW
Ste a
Fort Payne, AL 35967-2107

Mailing address

205 Grand Ave NW
Ste a
Fort Payne, AL 35967-2107
Phone (256) 635-6600

Other identifiers 5

IdentifierTypeStateIssuer
CRP6522MedicaidGA
4066126OtherTNBLUE CROSS
3716358MedicaidTN
TN0160OtherTNJOHN DEAR
539539OtherUPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20090430000097 AL Practitioner - Nurse Practitioner 1951368828 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Clinic LLCGroup PAC ID 7012155609, 9 clinicians
Valley Head Clinic LLCGroup PAC ID 0941326888, 7 clinicians

Practice addresses (Care Compare)

506 Harley St
Scottsboro, AL 35768-4219
Phone (256) 259-1234

6110 County Rd
Pisgah, AL 35765

6110 County Rd
Pisgah, AL 35765-8166
Phone (256) 451-1250

PO Box
Scottsboro, AL 35768

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-055018ALMDFamily Nurse Practitioner
APN0000006371TNMDFamily Nurse Practitioner
081283TNMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Clinic LLC CurrentSince Sep 25, 2017 Accepting new patients
Premier Medical Clinic LLC CurrentSince Mar 23, 2013 Accepting new patients
Med Care LLC CurrentSince Jun 16, 2015 Accepting new patients
Valley Head Clinic LLC CurrentSince Aug 2, 2010 Accepting new patients
Valley Head Clinic LLC CurrentSince Aug 2, 2010 Accepting new patients
Horizon Healthcare LLC CurrentSince Aug 2, 2012 Accepting new patients
Womens Health Services Chattanooga PC Past Accepting new patients
Chattanooga Center for Pain Medicine PC Past Accepting new patients

Locations

205 Grand Ave NW
Ste A
Fort Payne, AL 35967
Phone (256) 635-6600

205 Grand Ave NW
Ste B
Fort Payne, AL 35967
Phone (256) 979-1515

2605 Gault Ave N
Ste 200
Fort Payne, AL 35967
Phone (256) 979-1990

1436 Gunter Ave
Guntersville, AL 35976
Phone (256) 202-1111

6110 County Road 88
Pisgah, AL 35765
Phone (256) 451-1250

331 Parks Ave
Scottsboro, AL 35768
Phone (256) 259-4745

331 Parks Ave
Ste A
Scottsboro, AL 35768
Phone (256) 259-1635

506 Harley St
Scottsboro, AL 35768
Phone (256) 259-1234

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1184764912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GRAND AVE NW",
            "address_2": "STE A",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359672107",
            "telephone_number": "256-635-6600",
            "fax_number": "256-635-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 GRAND AVE NW",
            "address_2": "STE A",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359672107",
            "telephone_number": "256-635-6600",
            "fax_number": "256-635-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLINGER",
        "first_name": "CATHY",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "C.N.M.,F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000006371",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TN",
            "license": "081283",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-055018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CRP6522",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4066126",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3716358",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEAR",
            "identifier": "TN0160",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "539539",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

Verify at the official NPI Registry.