MR. TIMOTHY RAY OLIVE ARNP NPI 1033418439

NPI Information

  • NPI: 1033418439
  • Provider Name: MR. TIMOTHY RAY OLIVE, ARNP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2011 N BROADWAY ST
    POTEAU, OK
    ZIP 74953
  • Phone: (918) 647-7416

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NPI Details

MR. Timothy Ray Olive, ARNP is an adult health nurse practitioner in Poteau, OK with 16 years of experience. MR. Timothy Ray Olive, ARNP NPI is 1033418439. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2011 N BROADWAY ST
POTEAU, OK
ZIP 74953-642
Phone: (918) 647-7416
Fax: (918) 647-3508

The NPI 1033418439 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Automated urinalysis test (HCPCS:81003)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza (HCPCS:87428)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Removal of impacted ear wax (HCPCS:69210)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)

The enumeration date for this NPI number is 3/24/2011 and was last updated on 2/12/2019.

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
1363LA2200XNurse PractitionerAdult Health77830OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
177830OTHEROKLAHOMANURSING LICENSE

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: 11/21/2025

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