Individual provider Active NPI

Guillermo Arturo Olivarez, RN

  • Psychiatric/Mental Health Registered Nurse
  • Shavano Park, TX
National Provider Identifier
1629669759
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
981069 Issued in TX
Practice address
3519 Paesanos Pkwy Ste 105
Shavano Park, TX 78231-1266
Phone
(210) 481-4265
Fax
(210) 851-8374
NPI assigned
Feb 1, 2021
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X 981069 TX Primary

Addresses

Primary practice location

3519 Paesanos Pkwy Ste 105
Shavano Park, TX 78231-1266

Mailing address

3519 Paesanos Pkwy Ste 105
Shavano Park, TX 78231-1266
Phone (210) 481-4265

Other identifiers 1

IdentifierTypeStateIssuer
981069OtherTXPROFESSIONAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.garciasfamilywellness.com Direct

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
981069TXMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Garcias Family Wellness Psychology Group PLLC Multi-Specialty PastSince May 1, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1629669759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 PAESANOS PKWY STE 105",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311266",
            "telephone_number": "210-481-4265",
            "fax_number": "210-851-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 PAESANOS PKWY STE 105",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311266",
            "telephone_number": "210-481-4265",
            "fax_number": "210-851-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVAREZ",
        "first_name": "GUILLERMO",
        "middle_name": "ARTURO",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "981069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "981069",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.garciasfamilywellness.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3519 Paesanos Pkwy Ste 105",
            "city": "Shavano Park",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782311266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shavano Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.