Active NPI
Vanessa Stephanie Olivares, AU.D
- Audiologist
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 81604
- Practice address
- 9830 Gateway Blvd N
El Paso, TX 79924-4410 - Phone
- (915) 215-6891
- Fax
- (915) 215-6892
- NPI assigned
- Aug 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 81604 | TX | |
| Audiologist | 231H00000X | 81604 | TX | Primary |
Addresses
Primary practice location
9830 Gateway Blvd N
El Paso, TX 79924-4410
Mailing address
5130 Gateway Blvd E
El Paso, TX 79905-1608
Phone (915) 215-4480
Other practice location 1
1600 Medical Center Dr Ste 101
El Paso, TX 79902-5008
Phone (915) 544-1350
Other practice location 2
4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9830 Gateway Blvd N
El Paso, TX 79924-4410
Phone (915) 215-6891
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81604 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Southwest Ear Nose & Throat Consultants PA | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients |
Locations
777 Bannock St
Denver, CO 80204
9830 Gateway Blvd N
El Paso, TX 79924
Phone (915) 215-6891
4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200
1600 Medical Center Dr
Ste 101
El Paso, TX 79902
Phone (915) 544-1350
Organizations & group practices 6
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.
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-
- General Practice Physician
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- NPI 1477569838
-
- Neurological Surgery Physician
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- NPI 1457913444
-
- Surgery Physician
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- NPI 1538240478
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1609542026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5130 GATEWAY BLVD E",
"city": "EL PASO",
"state": "TX",
"postal_code": "799051608",
"telephone_number": "915-215-4480",
"fax_number": "915-215-5386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9830 GATEWAY BLVD N",
"city": "EL PASO",
"state": "TX",
"postal_code": "799244410",
"telephone_number": "915-215-6891",
"fax_number": "915-215-6892"
}
],
"practiceLocations": [
{
"address_1": "1600 Medical Center Dr Ste 101",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799025008",
"country_code": "US",
"telephone_number": "915-544-1350",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4801 Alberta Ave",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799052707",
"country_code": "US",
"telephone_number": "915-215-5300",
"fax_number": "915-215-8605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVARES",
"first_name": "VANESSA",
"middle_name": "STEPHANIE",
"credential": "AU.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-17",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "81604",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "81604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.