Active NPI
Casey Wade Oliver, RN
- Registered Nurse
- Fremont, NE
National Provider Identifier
1679765291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R72349
- Practice address
- 1005 E 23Rd St
Fremont, NE 68025-0800 - Phone
- (866) 784-2329
- NPI assigned
- Aug 16, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R72349 | AR | Primary |
Addresses
Primary practice location
1005 E 23Rd St
Fremont, NE 68025-0800
Mailing address
242 Sherman Dr
Gassville, AR 72635-8775
Phone (870) 405-6617
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R72349 | AR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187222400000",
"number": "1679765291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 SHERMAN DR",
"city": "GASSVILLE",
"state": "AR",
"postal_code": "726358775",
"telephone_number": "870-405-6617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 E 23RD ST",
"city": "FREMONT",
"state": "NE",
"postal_code": "680250800",
"telephone_number": "866-784-2329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "CASEY",
"middle_name": "WADE",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-16",
"last_updated": "2007-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R72349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.