Active NPI
Oliva Russo, APRN
- Family Nurse Practitioner
- Venice, FL
National Provider Identifier
1811806839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN76664
- Practice address
- 901 Tamiami TRL S Ste A2
Venice, FL 34285-3668 - Phone
- (941) 484-3531
- Fax
- (941) 486-1701
- NPI assigned
- Sep 4, 2026
- Last updated
- Sep 4, 2026
- 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 | RN76664 | CT | Primary |
Addresses
Primary practice location
901 Tamiami TRL S Ste A2
Venice, FL 34285-3668
Mailing address
PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200
Other practice location 1
5500 Pinebrook Rd Ste 202
North Venice, FL 34275-3678
Phone (941) 408-0500
Other names 1
- Olivia Ann Wolak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Cancer Specialists & Research Institute, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Cape Coral, FL
- NPI 1760590962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1811806839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102222",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682222",
"telephone_number": "239-274-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 TAMIAMI TRL S STE A2",
"city": "VENICE",
"state": "FL",
"postal_code": "342853668",
"telephone_number": "941-484-3531",
"fax_number": "941-486-1701"
}
],
"practiceLocations": [
{
"address_1": "5500 Pinebrook Rd Ste 202",
"address_purpose": "LOCATION",
"city": "North Venice",
"state": "FL",
"postal_code": "342753678",
"country_code": "US",
"telephone_number": "941-408-0500",
"fax_number": "941-496-8558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSO",
"first_name": "OLIVA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-04",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "RN76664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OLIVIA",
"last_name": "WOLAK",
"middle_name": "ANN",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.