KRISTYN M OLIVAREZ PA-C NPI 1174945166

NPI Information

NPI: 1174945166
Provider Name: KRISTYN M OLIVAREZ, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: SENIOR ADULTS SPECIALTY HEALTHCARE PA

PECOS Registration: Yes

Address:
3215 STECK AVE
AUSTIN, TX
ZIP 78757
Phone: (512) 774-5745
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Kristyn M Olivarez, PA-C is a medical physician assistant in Austin, TX with 11 years of experience. Kristyn M Olivarez, PA-C NPI is 1174945166. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3215 STECK AVE
AUSTIN, TX
ZIP 78757-566
Phone: (512) 774-5745

The NPI 1174945166 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/10/2014 and was last updated on 12/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		0010-04692	NORTH CAROLINA	No
2	363AM0700X	Physician Assistant	Medical	PA10587	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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