Olga Manite Nicolas, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11005252 Issued in FL

Practice address

13310 Amber Sky PL
Riverview, FL 33579-7278

Phone

(813) 817-3289

NPI assigned

Nov 29, 2019

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1574985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574985600000",
    "number": "1336786128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13310 AMBER SKY PL",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797278",
            "telephone_number": "813-817-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13310 AMBER SKY PL",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797278",
            "telephone_number": "813-817-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAS",
        "first_name": "OLGA",
        "middle_name": "MANITE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-29",
        "last_updated": "2019-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huy Nguyen
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• Lina Nguyen
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• Kristina Mabel Nieves Quinones, MD
• Corinne Carnevale Nikitas, MPT
• Ninie & Pop Home Care
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• Nivlem Companion & Homemaker Care LLC

• Family Nurse Practitioner in Riverview, FL
• Providers in Riverview, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2019; 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.