Individual provider Active NPI

Maria Eva Olan-Rogers

  • Psychiatric/Mental Health Nurse Practitioner
  • Waxahachie, TX
National Provider Identifier
1194567883
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1164104 Issued in TX
Practice address
2400 N Ih 35 E
Waxahachie, TX 75165-5240
Phone
(469) 843-4632
NPI assigned
Jun 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1164104 TX Primary

Addresses

Primary practice location

2400 N Ih 35 E
Waxahachie, TX 75165-5240

Mailing address

1341 Vista Ridge Dr
Midlothian, TX 76065-8803

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250324001361 TX Practitioner - Nurse Practitioner 7113449737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Psychiatry LLC Psychiatric/Mental Health CurrentSince Jan 7, 2025 Accepting new patients

Locations

610 Uptown Blvd
Ste 2000
Cedar Hill, TX 75104
Phone (972) 290-9134

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1194567883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 VISTA RIDGE DR",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760658803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N IH 35 E",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655240",
            "telephone_number": "469-843-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAN-ROGERS",
        "first_name": "MARIA EVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1164104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.