Mary Kathryn Oliver, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

15587 Issued in TN

Practice address

200 Gleaves St
Suite a
Madison, TN 37115-2176

Phone

(615) 851-7865

Fax

(615) 851-7866

NPI assigned

Mar 8, 2011

Last updated

Aug 7, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1487952917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GLEAVES ST",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152176",
            "telephone_number": "615-851-7865",
            "fax_number": "615-851-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GLEAVES ST",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152176",
            "telephone_number": "615-851-7865",
            "fax_number": "615-851-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "15587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1524067",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen J Obermeier, MD
• Occupational Health Centers of the Southwest, P.a. (Concentra Medical Center)
• Occupational Health Centers of the Southwest, P.a. (Concentra Medical Center)
• Aisosa Odigie
• Old Hickory Emergency Physicians
• Leah R Olley
• Omni Home Health (Suncrest Home Health)
• One Life LLC
• Jan Michael Ong
• Onpoint Phlebotomy Service and Training

• Pediatric Nurse Practitioner in Madison, TN
• Providers in Madison, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.