Candace Olivas, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP145217 Issued in TX

Practice address

11351 James Watt Dr
El Paso, TX 79936-6627

Phone

(915) 225-3807

NPI assigned

Feb 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1710511316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 FRANKFORT AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799031114",
            "telephone_number": "915-626-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11351 JAMES WATT DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366627",
            "telephone_number": "915-225-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVAS",
        "first_name": "CANDACE",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP145217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Hector Olivas
• Adriana M Olivas
• Alan Olivas
• Alexandra Olivas, APRN, FNP-C
• Andrew Olivas, DMD
• Cecilia A Olivas, RN, FNP-C
• Gabrielle Olivas, APRN, CPNP-PC
• Irma Isela Olivas
• Jennifer Olivas, FNPC
• Joshua Alexis Olivas, PHARMD

• Pediatric Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.