Jacqueline Barrera Olvera, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP10167 Issued in AZ

Practice address

3201 W Peoria Ave
Phoenix, AZ 85029-4608

Phone

(602) 866-1501

NPI assigned

Jun 5, 2017

Last updated

Dec 3, 2018By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Stellar Family Medical Clinic LLC

  • Family Nurse Practitioner
  • Surprise, AZ
  • NPI 1285408161
  NPD

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1639608599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE",
            "address_2": "STE A100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294609",
            "telephone_number": "602-866-1501",
            "fax_number": "602-866-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294608",
            "telephone_number": "602-866-1501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4142 W Willow Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850291028",
            "country_code": "US",
            "telephone_number": "602-866-1501",
            "fax_number": "602-866-2216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLVERA",
        "first_name": "JACQUELINE",
        "middle_name": "BARRERA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon Olstein, MD
• Brooke Ashley Oltsik
• Keauna Olugu, D.O. PH.D
• Emmanuel Oluwadare
• Funmilayo Oluwole, FNP-BC/PMHNP-BC
• Olympic Physical Therapy, Inc (Physicians Physical Therapy Service)
• Kimhiek Om, PHARMD
• Nathaniel Oman, PHARMD
• Evelyn Tan Omana-Roldan, M.D.
• Omar Sarder DDS PC

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.