Individual provider Active NPI

Gladys Mariam Olivera, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1275374878
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11033181 Issued in FL
Practice address
1333 W 37TH St
Hialeah, FL 33012-4858
Phone
(786) 838-7635
NPI assigned
Jun 5, 2024
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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 11033181 FL Primary

Addresses

Primary practice location

1333 W 37TH St
Hialeah, FL 33012-4858

Mailing address

1333 W 37TH St
Hialeah, FL 33012-4858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20241204003115 FL Practitioner - Nurse Practitioner 0547796229 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Violet Health CorpGroup PAC ID 7618317967, 3 clinicians
Quality of Life Servicing CorpGroup PAC ID 5597179978, 3 clinicians

Practice addresses (Care Compare)

10520 NW 26TH St
Suite C101
Doral, FL 33172-5941
Phone (786) 353-9308

4101 Ravenswood Rd
Suite 205
Fort Lauderdale, FL 33312-5301
Phone (786) 983-6729

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11033181FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lumina Wellness Group LLC CurrentSince Dec 10, 2025 Accepting new patients
Mo Care Solution LLC Psychiatric/Mental Health CurrentSince Mar 30, 2025 Accepting new patients
Specialist Consultation Network LLC CurrentSince Dec 10, 2025 Accepting new patients
Violet Health Corp CurrentSince May 20, 2025 Accepting new patients
Benessere Healthcare Limited Liability Company CurrentSince Nov 22, 2024 Accepting new patients

Locations

10520 NW 26th St
Ste C101
Doral, FL 33172
Phone (786) 353-9308

13226 SW 8th St
Miami, FL 33184
Phone (305) 554-5588

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1275374878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 W 37TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W 37TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124858",
            "telephone_number": "786-838-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERA",
        "first_name": "GLADYS",
        "middle_name": "MARIAM",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11033181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.