Individual provider Active NPI

Olivia Vasquez, FNP

  • Family Nurse Practitioner
  • Bunkie, LA
National Provider Identifier
1740704238
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09525 Issued in LA
Practice address
PO Box 380
Bunkie, LA 71322-0380
Phone
(318) 346-6681
Fax
(318) 346-6780
NPI assigned
Jul 27, 2017
Last updated
Jul 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP09525 LA Primary

Addresses

Primary practice location

PO Box 380
Bunkie, LA 71322-0380

Mailing address

PO Box 380
Bunkie, LA 71322-0380
Phone (318) 346-6781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171025000563 LA Practitioner - Nurse Practitioner 2769758465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

109 N Lexington Ave
Bunkie, LA 71322-1619
Phone (318) 346-7283

427 Evergreen St
Bunkie, LA 71322-3901
Phone (318) 346-6681

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09525LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No 1 Parish of Avoyelles State of Louisiana CurrentSince Jul 25, 2017 Accepting new patients
Hospital Service District No 1 Parish of Avoyelles State of Louisiana Current Accepting new patients
Hospital Service District No1 Parish of Avoyelles State of Louisiana CurrentSince Jul 25, 2017 Accepting new patients
Hospital Service District No 1 Parish of Avoyelles State of la Past Accepting new patients

Locations

109 N Lexington Ave
Bunkie, LA 71322
Phone (318) 346-7283

427 Evergreen St
Bunkie, LA 71322
Phone (318) 346-6681

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501113600000",
    "number": "1740704238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380",
            "city": "BUNKIE",
            "state": "LA",
            "postal_code": "713220380",
            "telephone_number": "318-346-6781",
            "fax_number": "318-346-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 380",
            "city": "BUNKIE",
            "state": "LA",
            "postal_code": "713220380",
            "telephone_number": "318-346-6681",
            "fax_number": "318-346-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "OLIVIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2017-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bunkie, LA

Sources for this page

Verify at the official NPI Registry.