Active NPI
Evangelinea Olvera
- Nursing Care Agency
- Houston, TX
National Provider Identifier
1669042446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Practice address
- 3411 Jeanetta St
Houston, TX 77063-5541 - Phone
- (713) 725-0985
- NPI assigned
- Jun 25, 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 904043 | TX | |
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
3411 Jeanetta St
Houston, TX 77063-5541
Mailing address
PO Box 631165
Houston, TX 77263-1165
Phone (713) 725-0985
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 904043 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aaryn Staffing Solutions LLC | Nursing Care | Current | Accepting new patients |
| Aaryn Hospice LLC | Current | Accepting new patients |
Locations
3411 Jeanetta St
Houston, TX 77063
Phone (713) 725-0985
Organizations & group practices 2
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.
-
- Community Based Hospice Care Agency
- Houston, TX
- NPI 1689243982
-
- Nursing Care Agency
- Houston, TX
- NPI 1710557590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1669042446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631165",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772631165",
"telephone_number": "713-725-0985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3411 JEANETTA ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770635541",
"telephone_number": "713-725-0985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLVERA",
"first_name": "EVANGELINEA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-25",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "904043",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.