Active NPI
Mona Olive, FNP
- Family Nurse Practitioner
- Athens, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-120020
- Practice address
- 220 French Farms Blvd Ste C
Athens, AL 35611-4361 - Phone
- (256) 233-2000
- Fax
- (256) 765-2001
- NPI assigned
- Sep 13, 2016
- Last updated
- Feb 23, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21738 | TN | |
| Family Nurse Practitioner | 363LF0000X | 1-120020 | AL | Primary |
Addresses
Primary practice location
220 French Farms Blvd Ste C
Athens, AL 35611-4361
Mailing address
801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008
Other practice location 1
2471 Helton Dr
Florence, AL 35630-1067
Phone (256) 765-2000
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Mona.Olive@forefrontdermatology.emadirect.md | ||
| Direct Messaging Address | Mona.Olive@forefrontdermatology.emadirect.md |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
220 French Farms Blvd
Suite C
Athens, AL 35611-4361
Phone (256) 233-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21738 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forefront Dermatology, S.C. | Current | Accepting new patients | |
| Amg-Crockett, LLC | Current | Accepting new patients | |
| Forefront Dermatology, S.C. | Current | Accepting new patients | |
| Amg-Crockett, LLC | Current | Accepting new patients | |
| Forefront Dermatology, S.C. | Past | Accepting new patients |
Locations
220 French Farms Blvd
Ste C
Athens, AL 35611
Phone (256) 233-2000
2471 Helton Dr
Florence, AL 35630
Phone (256) 765-2000
580 Providence Park Dr E
Mobile, AL 36695
Phone (251) 631-3570
580 Providence Park Dr E
Fl 2
Mobile, AL 36695
Phone (251) 631-3570
106 S Military St
#B
Loretto, TN 38469
Phone (931) 853-4622
1275 E College St
Ste 2
Pulaski, TN 38478
Phone (931) 363-3514
801 York St
Manitowoc, WI 54220
Phone (866) 630-9882
Bin 88617
Milwaukee, WI 53288
Interoperability endpoints
- mona.olive@forefrontdermatology.emadirect.md
- olive_mona_c@yourcarecommunity.org
Organizations & group practices 5
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.
-
dba Advanced Dermatology & Skin Care Centre
- Dermatology Physician
- Mobile, AL
- NPI 1366936759
-
dba Advanced Neurology Associates
- Family Medicine Physician
- Lawrenceburg, TN
- NPI 1326550732
-
dba Women's Health Clinic
- Rural Health Clinic/Center
- Lawrenceburg, TN
- NPI 1891580858
-
- Dermatology Physician
- Columbus, OH
- NPI 1063365385
-
- Dermatology Physician
- Manitowoc, WI
- NPI 1578515904
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Athens Limestone Hospital
- General Acute Care Hospital
- Athens, AL
- NPI 1144695081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1235687807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 YORK ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204630",
"telephone_number": "920-663-9008",
"fax_number": "920-684-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 FRENCH FARMS BLVD STE C",
"city": "ATHENS",
"state": "AL",
"postal_code": "356114361",
"telephone_number": "256-233-2000",
"fax_number": "256-765-2001"
}
],
"practiceLocations": [
{
"address_1": "2471 Helton Dr",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "AL",
"postal_code": "356301067",
"country_code": "US",
"telephone_number": "256-765-2000",
"fax_number": "256-765-2001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVE",
"first_name": "MONA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-13",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "21738",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-120020",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Mona.Olive@forefrontdermatology.emadirect.md",
"affiliation": "N",
"address_1": "2471 Helton Dr",
"city": "Florence",
"state": "AL",
"country_code": "US",
"postal_code": "356301067",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Mona.Olive@forefrontdermatology.emadirect.md",
"affiliation": "N",
"address_1": "220 French Farms Blvd Ste C",
"city": "Athens",
"state": "AL",
"country_code": "US",
"postal_code": "356114361",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Athens, AL
- North Alabama Pulmonary & Sleep Consultants
- Northland Hearing Centers, Inc. (Audibel Hearing Center)
- Northland Hearing Centers, Inc. (Center for Hearing Athens)
- Lamon Norton, NP
- Obrien Orthopedic PC
- One Love Hearing Concepts
- Maria Czarins Onoya, M.D.
- Onsite Connections, LLC (Onsite Safety Family Connections)
- Onsite Safety Solutions
- Orthopedic Surgery Specialists, Inc. (Ortho Sports Athens, LLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.