Individual provider Active NPI

Natasha Jolivette, NP

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1689155194
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137583 Issued in TX
Practice address
1720 Oak Village Blvd Ste 200
Arlington, TX 76017-7952
Phone
(682) 321-7007
Fax
(682) 321-7036
NPI assigned
Aug 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 862499 TX
Family Nurse Practitioner 363LF0000X AP137583 TX Primary

Addresses

Primary practice location

1720 Oak Village Blvd Ste 200
Arlington, TX 76017-7952

Mailing address

1720 Oak Village Blvd Ste 200
Arlington, TX 76017-7952
Phone (682) 321-7007

Other identifiers 1

IdentifierTypeStateIssuer
3923229-03MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
862499TXMDFamily Nurse Practitioner
AP137583TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dot Doc on Call LLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: natasha.jolivette@229366056681476.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1689155194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 OAK VILLAGE BLVD STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760177952",
            "telephone_number": "682-321-7007",
            "fax_number": "682-321-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 OAK VILLAGE BLVD STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760177952",
            "telephone_number": "682-321-7007",
            "fax_number": "682-321-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLIVETTE",
        "first_name": "NATASHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "862499",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3923229-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.