Active NPI
Catherine C. Olivolo, FNP
- Family Nurse Practitioner
- Yreka, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 16876
- Practice address
- 475 Bruce St
Yreka, CA 96097-3450 - Phone
- (530) 842-3507
- Fax
- (530) 842-9412
- NPI assigned
- Jan 6, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 16876 | CA | Primary |
Addresses
Primary practice location
475 Bruce St
Yreka, CA 96097-3450
Mailing address
475 Bruce St
Yreka, CA 96097-3474
Phone (530) 842-3507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100303001065 | CA | Practitioner - Nurse Practitioner | 6800931650 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Siskiyou Hospital Inc
Practice addresses (Care Compare)
444 Bruce St
Yreka, CA 96097-3450
Phone (530) 842-4121
Hospital & facility affiliations
- Fairchild Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16876 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siskiyou Hospital, Inc. | Current | Accepting new patients | |
| Fairchild Medical Group | Past | Accepting new patients |
Locations
475 Bruce St
Ste 500
Yreka, CA 96097
Phone (530) 842-3507
475 Bruce St
Yreka, CA 96097
Phone (530) 842-3507
444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256
475 Bruce St
Ste 900
Yreka, CA 96097
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Madrone Hospice, Inc | Hospice | Corporate Director | Oct 21, 2009 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Yreka, CA
- NPI 1275608614
Corporate Director
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.
-
- Rural Health Clinic/Center
- Etna, CA
- NPI 1336330646
-
- Family Medicine Physician
- Yreka, CA
- NPI 1063588895
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258934400000",
"number": "1710035993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 BRUCE ST",
"city": "YREKA",
"state": "CA",
"postal_code": "960973474",
"telephone_number": "530-842-3507",
"fax_number": "530-842-9412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 BRUCE ST",
"city": "YREKA",
"state": "CA",
"postal_code": "960973450",
"telephone_number": "530-842-3507",
"fax_number": "530-842-9412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVOLO",
"first_name": "CATHERINE",
"middle_name": "C.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-06",
"last_updated": "2009-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "16876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yreka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.