Individual provider Active NPI

Oliver Uy, DNP, FNP

  • Family Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1588174833
Registry record updated Oct 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60792925 Issued in WA
Practice address
15814 NE 72ND
Vancouver, WA 98682
Phone
(360) 608-0394
NPI assigned
Oct 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60792925 WA Primary

Addresses

Primary practice location

15814 NE 72ND
Vancouver, WA 98682

Mailing address

15814 NE 72ND St
Vancouver, WA 98682-3848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20181003000966 WA Practitioner - Nurse Practitioner 2062764038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 8820178288, 245 clinicians

Practice addresses (Care Compare)

505 NE 87TH Ave
Vancouver, WA 98664-1965

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60792925WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Aug 31, 2018 Accepting new patients
Peacehealth CurrentSince Oct 15, 2018 Accepting new patients

Locations

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854

1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

505 NE 87th Ave
Ste 460
Vancouver, WA 98664
Phone (360) 514-2470

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1506816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506816000000",
    "number": "1588174833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15814 NE 72ND ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986823848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15814 NE 72ND",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98682",
            "telephone_number": "360-608-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UY",
        "first_name": "OLIVER",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-01",
        "last_updated": "2017-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60792925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.