Active NPI
Anais Olivero, PA-C
- Physician Assistant
- Zebulon, NC
National Provider Identifier
1821537549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001007062
- Practice address
- 817 E Gannon Ave
Zebulon, NC 27597-9350 - Phone
- (919) 375-1975
- NPI assigned
- Feb 14, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001007062 | NC | Primary |
Addresses
Primary practice location
817 E Gannon Ave
Zebulon, NC 27597-9350
Mailing address
817 E Gannon Ave
Ste 104
Zebulon, NC 27597-9309
Phone (919) 375-1975
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001007062 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fastmed P.C. | Family Medicine | Past | Accepting new patients |
| Fastmed Urgent Care PC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- aolivero410267@direct.medicine.duke.edu
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Durham, NC
- NPI 1629841788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494547200000",
"number": "1821537549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 E GANNON AVE",
"address_2": "STE 104",
"city": "ZEBULON",
"state": "NC",
"postal_code": "275979309",
"telephone_number": "919-375-1975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 E GANNON AVE",
"city": "ZEBULON",
"state": "NC",
"postal_code": "275979350",
"telephone_number": "919-375-1975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVERO",
"first_name": "ANAIS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-14",
"last_updated": "2017-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "001007062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zebulon, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.