Jennifer Ann Olivella, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

33-340159 Issued in NY

Practice address

119 Noble St
Brentwood, NY 11717-6512

Phone

(516) 967-5591

NPI assigned

Sep 11, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1427483296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 NOBLE ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117176512",
            "telephone_number": "516-967-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 NOBLE ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117176512",
            "telephone_number": "516-967-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVELLA",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "624365",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "33-340159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amen K Ocloo, RN
• Abosede T Ogunwale-Laosebikan, RN
• Olubunmi Olanipekun Ogunwale
• Cynthia Okolski, L.A.C.S.W.-R
• Adesuwa Juile Olaofe, R.N.
• Rachel Olmeda
• Olympic Orthopedics, PC
• Heather Dawn Onishea, CASAC-T
• Pearl K Onwuzo
• Belinda Opperman, LPN

• Family Nurse Practitioner in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.