Active NPI
Janet Olivares, CRNA
- Certified Registered Nurse Anesthetist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R204257
- Practice address
- 2401 W Belvedere Ave
Baltimore, MD 21215-5270 - Phone
- (410) 601-9000
- NPI assigned
- Dec 26, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN1056862 | DC | |
| Registered Nurse | 163W00000X | R204257 | MD | |
| Certified Registered Nurse Anesthetist | 367500000X | R204257 | MD | Primary |
Addresses
Primary practice location
2401 W Belvedere Ave
Baltimore, MD 21215-5270
Mailing address
619 S Port St
Baltimore, MD 21224-3648
Phone (571) 748-8349
Other practice location 1
619 S Port St
Baltimore, MD 21224-3648
Phone (571) 748-8349
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R204257 | Other | MD | MARYLAND BOARD OF NURSING |
| RN1056862 | Other | DC | DISTRICT OF COLUMBIA BOARD OF NURSING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5401 Old Court Rd
Randallstown, MD 21133-5103
Phone 80051653155104
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1056862 | DC | MD | Registered Nurse |
| R204257 | MD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia Maryland LLC | Current | Accepting new patients | |
| Lifebridge Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2401 W Belvedere Ave
Baltimore, MD 21215
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Randallstown, MD
- NPI 1003992868
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Prince Frederick, MD
- NPI 1093707879
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Randallstown, MD
- NPI 1487695888
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
dba Grace Medical Center, A Sinai Hospital Facility
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487325874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1528655446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 S PORT ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212243648",
"telephone_number": "571-748-8349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 W BELVEDERE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155270",
"telephone_number": "410-601-9000"
}
],
"practiceLocations": [
{
"address_1": "619 S Port St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212243648",
"country_code": "US",
"telephone_number": "571-748-8349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVARES",
"first_name": "JANET",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-26",
"last_updated": "2022-02-17",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN1056862",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R204257",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R204257",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND BOARD OF NURSING",
"identifier": "R204257",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DISTRICT OF COLUMBIA BOARD OF NURSING",
"identifier": "RN1056862",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.