Individual provider Active NPI

Olivia Margaret Bouquet, MS, RN, FNP-BC

  • Family Nurse Practitioner
  • Spring Valley, NY
National Provider Identifier
1851810238
Registry record updated Sep 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342270 Issued in NY
Practice address
25 S Main St Ste E
Spring Valley, NY 10977-4917
Phone
(845) 499-5496
NPI assigned
Sep 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 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 342270 NY Primary

Addresses

Primary practice location

25 S Main St Ste E
Spring Valley, NY 10977-4917

Mailing address

37 Esther Ave
Congers, NY 10920-1528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20180126002105 NY Practitioner - Nurse Practitioner 6002176708 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
Telehealth
Offers telehealth services
Group practices
Liliana Lopez NP in Family Health PCGroup PAC ID 7517248339, 3 clinicians

Practice addresses (Care Compare)

25 S Main St
Suite E
Spring Valley, NY 10977-4917
Phone (845) 499-5496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Liliana Lopez NP in Family Health PC Family CurrentSince Dec 17, 2017 Accepting new patients

Locations

25 S Main St
Ste E
Spring Valley, NY 10977
Phone (845) 499-5496

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505520000000",
    "number": "1851810238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 ESTHER AVE",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109201528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S MAIN ST STE E",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774917",
            "telephone_number": "845-499-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUQUET",
        "first_name": "OLIVIA",
        "middle_name": "MARGARET",
        "credential": "MS, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-16",
        "last_updated": "2017-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

Verify at the official NPI Registry.