Xavier Oliver

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

4074 Howe Rd
Wayne, MI 48184-1830

Phone

(734) 394-9802

NPI assigned

Dec 23, 2015

Last updated

Dec 23, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1962867614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4074 HOWE ROAD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "48184",
            "telephone_number": "734-394-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4074 HOWE RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841830",
            "telephone_number": "734-394-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "XAVIER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02273942",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oakwood Healthcare Inc (Oakwood Annapolis Hospital)
• Oakwood Healthcare, Inc. (Beaumont Hospital - Wayne)
• Oakwood Healthcare, Inc. (Beaumont Hospital - Wayne)
• Terrence Oden, BSW
• Odyssey Home Health Services Inc
• Lavone Olmstead, LLBSW, QIDP
• Yetunde O. Olojo, M.ED; FAODP
• Jessica Olson
• Katelyn Olson
• Alivia Joy Olver

• Community Health Worker in Wayne, MI
• Providers in Wayne, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.