Active NPI
Perla Lizeth Olivo Uribe, NP
- Nurse Practitioner
- Edinburg, TX
National Provider Identifier
1417458456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP135417
- Practice address
- 1214 W Schunior St
Edinburg, TX 78541-2337 - Phone
- (956) 296-1731
- Fax
- (956) 296-1730
- NPI assigned
- Feb 26, 2018
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP135417 | TX | Primary |
Addresses
Primary practice location
1214 W Schunior St
Edinburg, TX 78541-2337
Mailing address
2102 Treasure Hills Blvd # 3.14406
Harlingen, TX 78550-8736
Phone (956) 296-1437
Other practice location 1
2106 Treasure Hills Blvd # 1.326
Harlingen, TX 78550-8736
Phone (956) 296-1519
Other practice location 2
2409 W Interstate Highway 2
Mission, TX 78572-7022
Phone (956) 296-2935
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3858037-02 | Medicaid | TX | |
| H08NE46801 | Other | TX | BCBS |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP135417 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Rio Grande Valley | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physiological Laboratory
- Harlingen, TX
- NPI 1689330649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1417458456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2102 TREASURE HILLS BLVD # 3.14406",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508736",
"telephone_number": "956-296-1437",
"fax_number": "956-296-6842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 W SCHUNIOR ST",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785412337",
"telephone_number": "956-296-1731",
"fax_number": "956-296-1730"
}
],
"practiceLocations": [
{
"address_1": "2106 Treasure Hills Blvd # 1.326",
"address_purpose": "LOCATION",
"city": "Harlingen",
"state": "TX",
"postal_code": "785508736",
"country_code": "US",
"telephone_number": "956-296-1519",
"fax_number": "956-296-1331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2409 W Interstate Highway 2",
"address_purpose": "LOCATION",
"city": "Mission",
"state": "TX",
"postal_code": "785727022",
"country_code": "US",
"telephone_number": "956-296-2935",
"fax_number": "956-296-2930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVO URIBE",
"first_name": "PERLA",
"middle_name": "LIZETH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-26",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP135417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3858037-02",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "H08NE46801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.