Active NPI
Soani Olivero
- Student in an Organized Health Care Education/Training Program
- Port Matilda, PA
National Provider Identifier
1982331336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1243 Skytop Mountain Rd
Port Matilda, PA 16870-7725 - Phone
- (814) 499-3009
- Fax
- (814) 470-4421
- NPI assigned
- Aug 5, 2022
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PA | Primary |
Addresses
Primary practice location
1243 Skytop Mountain Rd
Port Matilda, PA 16870-7725
Mailing address
1243 Skytop Mountain Rd
Port Matilda, PA 16870-7725
Phone (814) 499-3009
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1982331336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1243 SKYTOP MOUNTAIN RD",
"city": "PORT MATILDA",
"state": "PA",
"postal_code": "168707725",
"telephone_number": "814-499-3009",
"fax_number": "814-470-4421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1243 SKYTOP MOUNTAIN RD",
"city": "PORT MATILDA",
"state": "PA",
"postal_code": "168707725",
"telephone_number": "814-499-3009",
"fax_number": "814-470-4421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVERO",
"first_name": "SOANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-05",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Matilda, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.