Olivia Antonello, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

708119 Issued in TX

Practice address

9303 Pinecroft Dr Ste 270
The Woodlands, TX 77380-3183

Phone

(936) 447-9618

NPI assigned

Jul 17, 2012

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: olivia.antonello.1@19704.direct.athenahealth.com

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.

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  Medicare reassignment NPD
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  dba Genesis Medical Group

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  • NPI 1891348959
  NPD

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1609121680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9303 PINECROFT DR STE 270",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803183",
            "telephone_number": "936-447-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9303 PINECROFT DR STE 270",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803183",
            "telephone_number": "936-447-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONELLO",
        "first_name": "OLIVIA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "708119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Bailey-Gonzalez
• Anna Leason LCSW and Associates, PLLC
• Madhavi Annakula, MD
• Anns Place
• Yaw Owusu Ansah, MD
• Applied Psychological Services, PLLC
• Apurv K Varia PLLC
• Vincent (None) Aquino, M.D.
• Azita Arabghani, M.D.
• Sarah Arafat, DDS

• Family Nurse Practitioner in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.