Deidra Chantel Oliver, M.S.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

259 Bill France Blvd
Suite 200
Daytona Beach, FL 32114-1316

Phone

(386) 479-5585

NPI assigned

Apr 8, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1491609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491609600000",
    "number": "1275066003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 LANGAN AVE",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327385252",
            "telephone_number": "386-479-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 BILL FRANCE BLVD",
            "address_2": "SUITE 200",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141316",
            "telephone_number": "386-479-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "DEIDRA",
        "middle_name": "CHANTEL",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-08",
        "last_updated": "2017-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cordelia C Okwuosah, FNP-BC
• Gabrielle Oldenburg
• Sara Rosita Oliveira, MD
• Yudy Oliveros Cediel
• Maria Olivo, M.D.
• Karli Olson, DNP, APRN, FNP-C
• Wendy J Olson, OTR
• Matthew Omalley, SLPA, ITDS

• Case Manager/Care Coordinator in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.