Active NPI
Patricia Oliver
- Pediatrics Physician
- Toppenish, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD61581682
- Practice address
- 510 W 1St Ave
Toppenish, WA 98948-1564 - Phone
- (509) 865-5600
- Fax
- (509) 865-5783
- NPI assigned
- Nov 1, 2006
- Last updated
- Jan 16, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD61581682 | WA | Primary |
| Pediatrics Physician | 208000000X | L6552 | TX |
Addresses
Primary practice location
510 W 1St Ave
Toppenish, WA 98948-1564
Mailing address
PO Box 190
Toppenish, WA 98948-0190
Phone (509) 865-5600
Other practice location 1
652 E Sandy Lake Rd
Coppell, TX 75019-3019
Phone (972) 304-9240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8AL500 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L6552 | TX | MD | Pediatrics Physician |
| MD61581682 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakima Valley Farm Workers Clinic | Current | Accepting new patients | |
| Yakima Valley Farm Workers Clinic | Current | Accepting new patients | |
| Yakima Valley Farm Workers Clinic | Current | Accepting new patients | |
| Dr. Mac's Pediatrics and Allergy, P.a. | Pediatrics | Past | Accepting new patients |
Locations
115 Sunnyside Ave
Ste A
Granger, WA 98932
Phone (509) 865-6450
510 W 1st Ave
Toppenish, WA 98948
Phone (509) 865-3355
3801 Kern Rd
Yakima, WA 98902
Phone (509) 574-3200
Interoperability endpoints
- poliver46116@yvfwc.direct-ci.com
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.
-
dba Behavioral Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Yakima, WA
- NPI 1295788602
-
dba West Valley Family Health & OB/GYN
- Federally Qualified Health Center (FQHC)
- Yakima, WA
- NPI 1902532070
-
dba Community Health Center of Clatskanie
- Federally Qualified Health Center (FQHC)
- Clatskanie, OR
- NPI 1578000345
-
- Pediatrics Physician
- Coppell, TX
- NPI 1932325743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1932286267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "TOPPENISH",
"state": "WA",
"postal_code": "989480190",
"telephone_number": "509-865-5600",
"fax_number": "509-865-5783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 W 1ST AVE",
"city": "TOPPENISH",
"state": "WA",
"postal_code": "989481564",
"telephone_number": "509-865-5600",
"fax_number": "509-865-5783"
}
],
"practiceLocations": [
{
"address_1": "652 E Sandy Lake Rd",
"address_purpose": "LOCATION",
"city": "Coppell",
"state": "TX",
"postal_code": "750193019",
"country_code": "US",
"telephone_number": "972-304-9240",
"fax_number": "972-745-3382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVER",
"first_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD61581682",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "L6552",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8AL500",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toppenish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.