Individual provider Active NPI

Oliva Gatcho Pacana, FNP-BC

  • Family Nurse Practitioner
  • Rowlett, TX
National Provider Identifier
1992014039
Registry record updated Mar 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
640298 Issued in TX
Practice address
10818 Nantucket Dr
Rowlett, TX 75089-8468
Phone
(214) 679-4475
NPI assigned
Oct 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 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 640298 TX Primary

Addresses

Primary practice location

10818 Nantucket Dr
Rowlett, TX 75089-8468

Mailing address

200 N Carrier Pkwy
Ste 100
Grand Prairie, TX 75050-5468
Phone (214) 679-4475

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
640298TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488672000000",
    "number": "1992014039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N CARRIER PKWY",
            "address_2": "STE 100",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505468",
            "telephone_number": "214-679-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10818 NANTUCKET DR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750898468",
            "telephone_number": "214-679-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACANA",
        "first_name": "OLIVA",
        "middle_name": "GATCHO",
        "name_prefix": "Miss",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2017-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "640298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.