Active NPI
Winter Deleen Oliver, FNP
- Family Nurse Practitioner
- Ruston, LA
National Provider Identifier
1285933697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP06362
- Practice address
- 1809 Northpointe LN
Suite 102
Ruston, LA 71270-3853 - Phone
- (318) 255-3762
- NPI assigned
- Mar 24, 2011
- 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 Nurse Practitioner | 363LF0000X | AP06362 | LA | Primary |
Addresses
Primary practice location
1809 Northpointe LN
Suite 102
Ruston, LA 71270-3853
Mailing address
415 Holland Rd
Bernice, LA 71222-5645
Phone (318) 285-0622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2153838 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1285933697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 HOLLAND RD",
"city": "BERNICE",
"state": "LA",
"postal_code": "712225645",
"telephone_number": "318-285-0622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 NORTHPOINTE LN",
"address_2": "SUITE 102",
"city": "RUSTON",
"state": "LA",
"postal_code": "712703853",
"telephone_number": "318-255-3762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "WINTER",
"middle_name": "DELEEN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-24",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP06362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2153838",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ruston, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.