Individual provider Active NPI

Andrea D Oliver, APRN

  • Family Nurse Practitioner
  • Carthage, TX
National Provider Identifier
1407928658
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP113626 Issued in TX
Practice address
105 Cottage Rd Ste B
Carthage, TX 75633-1507
Phone
(936) 332-3042
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 572471 TX
Family Nurse Practitioner 363LF0000X AP113626 TX Primary

Addresses

Primary practice location

105 Cottage Rd Ste B
Carthage, TX 75633-1507

Mailing address

PO Box 819
Carthage, TX 75633-0819
Phone (903) 693-3400

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210126002425 TX Practitioner - Nurse Practitioner 6608962139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
572471TXMDFamily Nurse Practitioner
AP113626TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Health Promotions LLC CurrentSince Oct 6, 2020 Accepting new patients

Locations

105 Cottage Rd
#B
Carthage, TX 75633
Phone (903) 690-0913

Interoperability endpoints

  • Direct secure messaging: aoliver469602@ahs.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

P O Box
Suite 819
Carthage, TX 75633-0819

PO Box
Suite 819
Carthage, TX 75633-0819

Hospital & facility affiliations

  • Accentcare Home Health of Texas Home health agency, Longview, TX, CCN 679090
  • Ut Health East Texas Carthage Hospital Hospital, Carthage, TX, CCN 450210
  • Longview Regional Medical Center Hospital, Longview, TX, CCN 450702

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1407928658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756330819",
            "telephone_number": "903-693-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COTTAGE RD STE B",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756331507",
            "telephone_number": "936-332-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "ANDREA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "572471",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP113626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, TX

Sources for this page

Verify at the official NPI Registry.