Active NPI
Dominique Lizette Olivarez, AUD
- Audiologist
- Edinburg, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 80750
- Practice address
- 2821 Michaelangelo Dr
Ste303
Edinburg, TX 78539-1404 - Phone
- (956) 362-2490
- Fax
- (956) 362-2493
- NPI assigned
- Aug 3, 2016
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 80750 | TX | Primary |
Addresses
Primary practice location
2821 Michaelangelo Dr
Ste303
Edinburg, TX 78539-1404
Mailing address
PO Box 749
Pharr, TX 78577-1614
Phone (956) 362-2171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11439 Spring Cypress Rd
Unit B
Tomball, TX 77377-6513
Phone (936) 273-4437
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marquardt Audiology & Hearing AIDS PLLC | Audiologist | Current | Accepting new patients |
Locations
1020 Riverwood Ct
Ste 115
Conroe, TX 77304
Phone (936) 273-4437
9533 Huffmeister Rd
#B
Houston, TX 77095
Phone (281) 763-7960
17350 St Lukes Way
Ste 115
The Woodlands, TX 77384
Phone (936) 273-4437
11439 Spring Cypress Rd
Unit B
Tomball, TX 77377
Phone (936) 273-4437
Organizations & group practices 1
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.
-
- Audiologist
- The Woodlands, TX
- NPI 1194085563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1689127995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749",
"city": "PHARR",
"state": "TX",
"postal_code": "785771614",
"telephone_number": "956-362-2171",
"fax_number": "956-627-6015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 MICHAELANGELO DR",
"address_2": "STE303",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785391404",
"telephone_number": "956-362-2490",
"fax_number": "956-362-2493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVAREZ",
"first_name": "DOMINIQUE",
"middle_name": "LIZETTE",
"name_prefix": "Mrs.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-03",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "80750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.