Individual provider Active NPI

Olivia Hardy

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1629796255
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
279257 Issued in AZ
Practice address
17218 N 72ND Dr Ste 100
Glendale, AZ 85308-8581
Phone
(623) 334-8671
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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 279257 AZ Primary

Addresses

Primary practice location

17218 N 72ND Dr Ste 100
Glendale, AZ 85308-8581

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230111002722 AZ Practitioner - Nurse Practitioner 7416327234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Phoenix Collaborative Care PCGroup PAC ID 0941503304, 111 clinicians

Practice addresses (Care Compare)

10249 W Thunderbird Blvd
Suite 100
Sun City, AZ 85351-3113
Phone (702) 480-2550

20040 N 19TH Ave
Phoenix, AZ 85027-4255
Phone (602) 249-0115

5830 N 19TH Ave
Phoenix, AZ 85015-2494
Phone (602) 336-1966

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
279257AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Internal Medicine, P.C. CurrentSince Oct 6, 2022 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Feb 1, 2025 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Feb 1, 2025 Accepting new patients

Locations

5651 W Talavi Blvd
Ste 170
Glendale, AZ 85306
Phone (602) 843-1313

5701 W Talavi Blvd
Ste 110
Glendale, AZ 85306
Phone (602) 843-1313

17218 N 72nd Dr
Ste 100
Glendale, AZ 85308
Phone (623) 334-8670

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966

Interoperability endpoints

  • Direct secure messaging: ohardy195575@westdirect.optum.com

Organizations & group practices 3

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": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1629796255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17218 N 72ND DR STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088581",
            "telephone_number": "623-334-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "279257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.