Individual provider Active NPI

Julia Olivarez

  • Licensed Vocational Nurse
  • Laredo, TX
National Provider Identifier
1558849273
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
161111 Issued in TX
Practice address
615A Gale St
Laredo, TX 78041
Phone
(956) 712-9988
NPI assigned
Aug 3, 2018
Last updated
Aug 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 161111 TX Primary

Addresses

Primary practice location

615A Gale St
Laredo, TX 78041

Mailing address

504 E Carolyn St
Hebbronville, TX 78361-3944
Phone (361) 219-1655

Other practice location 1

504 E Carolyn St
Hebbronville, TX 78361-3944
Phone (361) 219-1655

Other practice location 2

800 N Shoreline Blvd Ste 700S
Corpus Christi, TX 78401-3718
Phone (361) 937-7887

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
161111TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1558849273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E CAROLYN ST",
            "city": "HEBBRONVILLE",
            "state": "TX",
            "postal_code": "783613944",
            "telephone_number": "361-219-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615A GALE ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78041",
            "telephone_number": "956-712-9988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 E Carolyn St",
            "address_purpose": "LOCATION",
            "city": "Hebbronville",
            "state": "TX",
            "postal_code": "783613944",
            "country_code": "US",
            "telephone_number": "361-219-1655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 N Shoreline Blvd Ste 700S",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784013718",
            "country_code": "US",
            "telephone_number": "361-937-7887",
            "fax_number": "361-937-9421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVAREZ",
        "first_name": "JULIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "161111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.