Individual provider Active NPI

Anais Olivero, PA-C

  • Physician Assistant
  • Zebulon, NC
National Provider Identifier
1821537549
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001007062 Issued in NC
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

Updated by the provider on May 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
001007062NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fastmed P.C. Family Medicine PastSince May 6, 2025 Accepting new patients
Fastmed Urgent Care PC Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.