JACQUELINE BARRERA OLVERA (NPI# 1639608599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639608599 |
| Entity Type | Individual |
| Full Name | JACQUELINE BARRERA OLVERA |
| Credential | NP |
| Practice Address |
3201 W Peoria Ave Phoenix AZ 85029-4608 |
| Mailing Address |
3201 W Peoria Ave Ste A100 Phoenix AZ 85029-4609 |
| Practice Telephone | 6028661501 |
| Mailing Telephone | 6028661501 |
| Mailing Fax Number | 6028662216 |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2018-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP10167 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4142 W Willow Ave, Phoenix, AZ 850291028 | 6028661501 | 6028662216 |
| Street Address |
3201 W PEORIA AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85029-4608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053304840 | Thomas J Long | Physical Therapist | 3201 W Peoria Ave, Suite D800, Phoenix, AZ 85029-4608 | 2005-08-26 |
| 1659823235 | Careatc-phoenix | Clinic/Center | 3201 W Peoria Ave, D707, Phoenix, AZ 85029-4608 | 2016-10-28 |
| 1487108593 | Emily Bowen | Physical Therapist | 3201 W Peoria Ave, Ste B408, Phoenix, AZ 85029 | 2016-08-05 |
| 1386051159 | Danette Moe | Physical Therapist | 3201 W Peoria Ave, Suite B-408, Phoenix, AZ 85029-4608 | 2014-07-14 |
| 1144648940 | Michael Kay | Physical Therapist | 3201 W Peoria Ave, B-408, Phoenix, AZ 85029-4608 | 2014-03-31 |
| 1801210893 | Medstaffpc | Family Medicine | 3201 W Peoria Ave, Ste D707, Phoenix, AZ 85029-4608 | 2014-02-11 |
| 1083042030 | Valley View Dental Pllc | Clinic/Center | 3201 W Peoria Ave, Suite A104, Phoenix, AZ 85029-4608 | 2013-10-29 |
| 1689006678 | Patrick Mills | Physical Therapist | 3201 W Peoria Ave, B408, Phoenix, AZ 85029-4608 | 2013-08-01 |
| 1083046288 | Jason M Klepfisz | Optometrist | 3201 W Peoria Ave, Suite D704, Phoenix, AZ 85029-4608 | 2013-07-30 |
| 1073851481 | Larry D. Stark, D.o., P.C. | Family Medicine | 3201 W Peoria Ave, #a100, Phoenix, AZ 85029-4608 | 2013-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1871191221 | Covenant Home Health LLC | In Home Supportive Care | 11830 N. 19th Ave, Suite 101 Pendleton, Phoenix, AZ 85029 | 2020-10-16 |
| 1508406745 | Tailored 2 U Psychiatry, Pllc | Nurse Practitioner | 4150 W Peoria Avenue, Suite 116, Phoenix, AZ 85029 | 2020-01-15 |
| 1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
| 1588128623 | Anna Debbs | Counselor | 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 | 2019-01-23 |
| 1609360007 | Melissa Lynn Denton | Specialist/Technologist | 4014 W Paradise Dr, Phoenix, AZ 85029 | 2018-06-19 |
| 1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
| 1639687056 | Empower Home Care, LLC. | Home Health | 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 | 2018-01-19 |
| 1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
| 1073966347 | Meka Joi Green | Social Worker | 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 | 2016-07-21 |
| Find all providers in zip 85029 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
| 1932712825 | Grace Wanjiru Karanja Adams | Nurse Practitioner | 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 | 2020-08-28 |
| 1649895574 | Jozzette Elaine Rubio | Nurse Practitioner | 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 | 2020-06-16 |
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1568087955 | Christa Ann Colvin | Nurse Practitioner | 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 | 2020-06-10 |
| 1497378541 | Sharon Uchechi Joshua | Nurse Practitioner | 9117 W Virginia Ave, Phoenix, AZ 85037-4233 | 2020-05-23 |
| 1992326102 | Ashley Elizabeth Hall | Nurse Practitioner | 15810 N 18th St, Phoenix, AZ 85022-3302 | 2020-04-28 |
| 1750916797 | Sebastian Freeman Smith | Nurse Practitioner | 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 | 2020-03-10 |
| 1295365724 | Jessica Veasy | Nurse Practitioner | 7251 N 23rd Ave, Phoenix, AZ 85021-7714 | 2020-01-23 |
| 1568092526 | Anuradha Lingamneni | Nurse Practitioner | 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 | 2020-01-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.