Active NPI
Jenny M Olivo, MD
- Family Medicine Physician
- Irving, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N3217
- Practice address
- 3501 N Macarthur Blvd
Suite 400
Irving, TX 75062-3651 - Phone
- (972) 253-4395
- Fax
- (972) 594-0111
- NPI assigned
- Jul 13, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | N3217 | TX | Primary |
Addresses
Primary practice location
3501 N Macarthur Blvd
Suite 400
Irving, TX 75062-3651
Mailing address
2021 N Macarthur Blvd
Suite 150
Irving, TX 75061-2219
Phone (972) 253-2560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2100638 01 | Medicaid | TX |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N3217 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care Texas, P.a. | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Medexpress Urgent Care Texas, P.a. | Current | Accepting new patients | |
| Texan Urgent Care PLLC | Current | Accepting new patients | |
| Valora Medical Center LLC | Current | Accepting new patients | |
| Medexpress Urgent Care Texas, P.a. | Current | Accepting new patients | |
| Medexpress Urgent Care Texas, P.a. | Past | Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
10152 Lake June Rd
Ste 110
Dallas, TX 75217
Phone (972) 557-6551
9100 Viscount Blvd
El Paso, TX 79925
Phone (915) 594-4475
12371 Edgemere Blvd
#207209
El Paso, TX 79938
Phone (915) 856-0008
5001 S Hulen St
Fort Worth, TX 76132
Phone (817) 361-1928
1004 S Carrier Pkwy
Grand Prairie, TX 75051
Phone (214) 677-1300
5601 Executive Dr
Ste 200
Irving, TX 75038
Phone (352) 565-7290
22915 Morton Ranch Rd
Katy, TX 77449
Phone (281) 574-0124
11826 Broadway St
Pearland, TX 77584
Phone (713) 340-1124
1305 N Highway 77
Waxahachie, TX 75165
Phone (972) 937-1203
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Little Elm, TX
- NPI 1194246884
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
-
- Primary Care Clinic/Center
- Arlington, TX
- NPI 1831772052
-
- Urgent Care Clinic/Center
- Dallas, TX
- NPI 1528589124
-
- Urgent Care Clinic/Center
- Irving, TX
- NPI 1730673922
-
- Emergency Medicine Physician
- Scottsdale, AZ
- NPI 1346545209
-
- Urgent Care Clinic/Center
- Waxahachie, TX
- NPI 1235633306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1245439751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 N MACARTHUR BLVD",
"address_2": "SUITE 150",
"city": "IRVING",
"state": "TX",
"postal_code": "750612219",
"telephone_number": "972-253-2560",
"fax_number": "972-253-4218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 N MACARTHUR BLVD",
"address_2": "SUITE 400",
"city": "IRVING",
"state": "TX",
"postal_code": "750623651",
"telephone_number": "972-253-4395",
"fax_number": "972-594-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVO",
"first_name": "JENNY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-13",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N3217",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2100638 01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.