Individual provider Active NPI

Dominique Olivier, CRNP, FNP-C

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1649743972
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R149406 Issued in MD
Practice address
Bon Secours Hospital
2000 West Baltimore Street
Baltimore, MD 21223
Phone
(410) 362-3627
Fax
(410) 362-3259
NPI assigned
Jan 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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 R149406 MD Primary

Addresses

Primary practice location

Bon Secours Hospital
2000 West Baltimore Street
Baltimore, MD 21223

Mailing address

Bon Secours Mercy Health
2000 West Baltimore Street
Baltimore, MD 21223
Phone (410) 632-3627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20190523000088 MD Practitioner - Nurse Practitioner 4688917289 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R149406MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Medical Center, Inc. CurrentSince Mar 11, 2021 Accepting new patients
Grace Medical Center, Inc. CurrentSince Mar 11, 2021 Accepting new patients
Tariq Mahmood, MD. LLC. CurrentSince Feb 24, 2026 Accepting new patients
Johns Hopkins University CurrentSince May 1, 2019 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University CurrentSince May 1, 2019 Accepting new patients

Locations

2000 W Baltimore St
Baltimore, MD 21223
Phone (410) 362-3075

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

2401 W Baltimore St
#C
Baltimore, MD 21223
Phone (410) 945-7706

215 Washington Heights Med Ctr
Westminster, MD 21157
Phone (410) 848-2400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHJFBA

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.

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1649743972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BON SECOURS MERCY HEALTH",
            "address_2": "2000 WEST BALTIMORE STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21223",
            "telephone_number": "410-632-3627",
            "fax_number": "140-632-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BON SECOURS HOSPITAL",
            "address_2": "2000 WEST BALTIMORE STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21223",
            "telephone_number": "410-362-3627",
            "fax_number": "410-362-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVIER",
        "first_name": "DOMINIQUE",
        "name_prefix": "Mrs.",
        "credential": "CRNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R149406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.