Active NPI
Jessica Lynne Olano, CERTIFIED NURSE MIDW
- Advanced Practice Midwife
- Goodyear, AZ
National Provider Identifier
1679150692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- CNM06958
- Practice address
- 35 N Estrella Pkwy
Goodyear, AZ 85338-4690 - Phone
- (623) 846-7558
- Fax
- (623) 846-1674
- NPI assigned
- Mar 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | CNM06958 | AZ | Primary |
Addresses
Primary practice location
35 N Estrella Pkwy
Goodyear, AZ 85338-4690
Mailing address
530 E Thomas Rd
Phoenix, AZ 85012-3204
Phone (602) 422-9000
Other practice location 1
9930 W Indian School Rd
Phoenix, AZ 85037-5902
Phone (623) 846-7558
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNM06958 | AZ | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Baby Academy USA LLC | Advanced Practice Midwife | Past | Accepting new patients |
| Arizona OB/GYN Affiliates PC | Past | Accepting new patients | |
| Premier Care for Women PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/14294/brand/1/csg/1/fhir/r4
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.
-
- Obstetrics & Gynecology Physician
- Chandler, AZ
- NPI 1962577650
-
- Obstetrics Physician
- Surprise, AZ
- NPI 1932425253
-
- Advanced Practice Midwife
- Chicago, IL
- NPI 1306572631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1679150692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850123204",
"telephone_number": "602-422-9000",
"fax_number": "602-556-5951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 N ESTRELLA PKWY",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853384690",
"telephone_number": "623-846-7558",
"fax_number": "623-846-1674"
}
],
"practiceLocations": [
{
"address_1": "9930 W Indian School Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850375902",
"country_code": "US",
"telephone_number": "623-846-7558",
"fax_number": "623-846-1674",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLANO",
"first_name": "JESSICA",
"middle_name": "LYNNE",
"credential": "CERTIFIED NURSE MIDW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AZ",
"license": "CNM06958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.