Olivia Serna

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

11639 Issued in NM

Legal business name

OLIVIA SERNA

Practice address

2500 El Paseo Rd.
Suite B
Las Cruces, NM 88001

Phone

(575) 541-4409

Fax

(575) 541-4452

NPI assigned

Jul 28, 2006

Last updated

May 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olivia Serna

Title

Owner

Phone

(505) 541-4409

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1487668323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 EL PASEO RD.",
            "address_2": "SUITE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88001",
            "telephone_number": "575-541-4409",
            "fax_number": "575-541-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 EL PASEO RD.",
            "address_2": "SUITE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88001",
            "telephone_number": "575-541-4409",
            "fax_number": "575-541-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVIA SERNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "SERNA",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-541-4409"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NM",
            "license": "11639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF NEW MEXICO",
            "identifier": "NM00TB93",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61677035",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicolasa Olivas
• Sandra Olivas, LCSW
• Teresa Marie Olivas, PT, MPT
• Audrey Oliver
• Marcia A Oliver
• Madelyn Olmsted
• Cristine Marie Olson, SLP
• Lindsay Alexandra Olson
• Madelyn Olson
• Judith Omari

• Customized Equipment (DME) in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Customized Equipment (DME) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.

Verify at the official NPI Registry.