Individual provider Active NPI

Jessica Danielle Olavarria, FNP-C

  • Family Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1578071387
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11002581 Issued in FL
Practice address
1000 36TH St
Vero Beach, FL 32960-4862
Phone
(772) 567-4311
NPI assigned
Jan 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN257152 GA
Family Nurse Practitioner 363LF0000X APRN11002581 FL Primary

Addresses

Primary practice location

1000 36TH St
Vero Beach, FL 32960-4862

Mailing address

3554 Ocean Dr
Vero Beach, FL 32963-1673
Phone (772) 205-7069

Other practice location 1

1820 58th Ave
Vero Beach, FL 32966-4673
Phone (772) 257-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180607002093 GA Practitioner - Nurse Practitioner 0547525800 Reassigns benefits to 2 organizations
I20190717002504 FL Practitioner - Nurse Practitioner 0547525800 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Mercer University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gilford Sound Emergency Physicians LLCGroup PAC ID 3678833951, 32 clinicians

Practice addresses (Care Compare)

1000 36TH St
Vero Beach, FL 32960-4862
Phone (954) 939-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN257152GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Boynton Urgent Care, LLC CurrentSince May 1, 2021 Accepting new patients
Gilford Sound Emergency Physicians LLC CurrentSince Jun 18, 2019 Accepting new patients
Georgia Em-I Medical Services, LLC CurrentSince Mar 25, 2018 Accepting new patients
Georgia Em-I Medical Services PC CurrentSince Mar 25, 2018 Accepting new patients
Gaia Functional Medicine Current Accepting new patients
Georgia Em-I Medical Services. LLC Current Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince Jul 31, 2019 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince May 1, 2021 Accepting new patients
Solantic/South Florida, LLC CurrentSince May 1, 2021 Accepting new patients

Locations

8756 Boynton Rd W
Ste 150
Boynton Beach, FL 33472
Phone (561) 740-2273

18167 US Highway 19 N
Ste 650
Clearwater, FL 33764
Phone (727) 507-2519

18706 NW 67th Ave
Miami Gardens, FL 33015
Phone (786) 563-0280

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

1205 N University Dr
Pompano Beach, FL 33071
Phone (954) 780-8134

784 E Prima Vista Blvd
Port St Lucie, FL 34952
Phone (772) 878-7311

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

Networks

  • Freedom Health HMO Network

Organizations & group practices 9

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": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1578071387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3554 OCEAN DR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329631673",
            "telephone_number": "772-205-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 36TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604862",
            "telephone_number": "772-567-4311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 58th Ave",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329664673",
            "country_code": "US",
            "telephone_number": "772-257-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLAVARRIA",
        "first_name": "JESSICA",
        "middle_name": "DANIELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN257152",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.