Individual provider Active NPI

Olivea Nicholson

  • Day Training/Habilitation Specialist
  • Centennial, CO
National Provider Identifier
1467813352
Registry record updated Mar 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
License
23Y819 Issued in CO
Practice address
280 E Sterne Blvd
Centennial, CO 80122-1026
Phone
(303) 798-0074
Fax
(303) 798-0139
NPI assigned
Mar 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X 23Y819 CO Primary

Addresses

Primary practice location

280 E Sterne Blvd
Centennial, CO 80122-1026

Mailing address

280 E Sterne Blvd
Centennial, CO 80122-1026
Phone (303) 798-0074

Other names 1

  • Ms. Olivea Ross Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23Y819COMDDay Training/Habilitation Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Loving Touch Elderly Assistant Care Day Training/Habilitation Specialist Current Accepting new patients
Loving Touch Elderly Assistant Care Inc CurrentSince Jul 12, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1458345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458345600000",
    "number": "1467813352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 E STERNE BLVD",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801221026",
            "telephone_number": "303-798-0074",
            "fax_number": "303-798-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 E STERNE BLVD",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801221026",
            "telephone_number": "303-798-0074",
            "fax_number": "303-798-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "OLIVEA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-19",
        "last_updated": "2016-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CO",
            "license": "23Y819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVEA",
            "last_name": "ROSS",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2016; 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.