Olive Branch Medical PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

OLIVE BRANCH MEDICAL PLLC

Doing business as

OLIVE BRANCH MEDICAL PLLC

Practice address

1011 W Loop 281
Longview, TX 75604-2970

Phone

(903) 660-7049

Fax

(903) 660-7054

NPI assigned

Mar 29, 2022

Organization subpart

No

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

Authorized official

Name

Alvarez Finette

Title

Owner

Phone

(903) 399-0794

Specialties & licenses 1

Addresses

Other names 1

• OLIVE BRANCH MEDICAL PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Finette Julmeus Alvarez, FNP

  • Family Nurse Practitioner
  • Tyler, TX
  • NPI 1184851693
  Medicare reassignment NPD

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1992455125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W LOOP 281",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042970",
            "telephone_number": "903-660-7049",
            "fax_number": "903-660-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W LOOP 281",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042970",
            "telephone_number": "903-660-7049",
            "fax_number": "903-660-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "FINETTE",
        "authorized_official_first_name": "ALVAREZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-399-0794"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OLIVE BRANCH MEDICAL PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chinwe Okafor, M.D.
• Menkeoma Laura Okoli, MD
• Okwuchukwu Okoli, MD
• Kelly Okpagu, MD
• Annette O Okpeki, M.D.
• Arianna Renee Oliver
• Olives Escape
• Olusola Olofinlade, M.D.
• Denitze Olvera, CHW
• Leonidah Sandimu Ombongi

• Family Nurse Practitioner in Longview, TX
• Providers in Longview, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.