OLIVIA CHINENYE GACHOMO PMHMP NPI 1942690359

NPI Information

NPI: 1942690359
Provider Name: OLIVIA CHINENYE GACHOMO, PMHMP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
3724 EXECUTIVE CENTER DR
AUSTIN, TX
ZIP 78731
Phone: (512) 452-2100
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Olivia Chinenye Gachomo, PMHMP is a psychiatric/mental health nurse practitioner in Austin, TX with 10 years of experience. Olivia Chinenye Gachomo, PMHMP NPI is 1942690359. 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:

3724 EXECUTIVE CENTER DR
AUSTIN, TX
ZIP 78731-646
Phone: (512) 452-2100
Fax: (855) 346-7410

The NPI 1942690359 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 1/24/2015 and was last updated on 7/8/2021.

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	363LF0000X	Nurse Practitioner	Family	AP127309	TEXAS	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP127309	TEXAS	Yes

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
1	2020130222	OTHER	TEXAS	ANCC

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: 4/28/2024

NPI Synchronization or Removal

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