Look up the most recent NPI and PECOS records

Olivia Sauma Kwan-Sandy

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

3418 N Lamar Blvd Ste 100, Austin, TX 78705-1176

PECOS Enrollment

This provider is enrolled in PECOS as OLIVIA KWAN-SANDY.

Based on the most recent information from CMS, provider Olivia Sauma Kwan-Sandy is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1437928678
Provider Type
Individual
Full Name
Kwan-Sandy, Olivia Sauma
Credential
FNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/28/2023
Last Updated
3/29/2024

Contact Information

Practice Location

3418 N Lamar Blvd Ste 100, Austin, TX 78705-1176

(512) 244-4272

(512) 244-2895

Mailing Location

101 W Louis Henna Blvd Ste 300, Austin, TX 78728-1203

(512) 244-4272

(512) 244-2895

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 1150794 Texas

Olivia Sauma Kwan-Sandy

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Calos, Alicia Christine

Bode, Sara

Rodriguez, Cassandra Elyse

Burgett, Erica

Berry, Mary Jane

Schiller, Jessica Layne

Frank, Jill Renee

Cavendish, Sophie M

Albert, Suzanne Singerman

Lenhard, Leslie