1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Specialist
  6. NPI Profile

AMANDA OLIVAS
NPI 1124965884
Specialist in Phoenix, AZ

Active since April 30, 2026
1609 E ROMA AVE, PHOENIX, AZ 85016(602) 748-6197 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Olivas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA OLIVAS (NPI 1124965884) is an individual specialist in Phoenix, Arizona and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1124965884
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameAMANDA OLIVAS
Location Address1609 E ROMA AVEPhoenix, AZ 85016-5413
Mailing Address3621 W Meadowbrook AvePhoenix, AZ 85019-3217 · (602) 748-6197
Phone(602) 748-6197
Sole ProprietorYes
Enumeration DateApril 30, 2026
NPPES CertifiedApril 30, 2026
✔ NPI 1124965884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1609 E ROMA AVE, Phoenix, AZ 85016
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Olivas's NPI number?

The NPI number for Amanda Olivas is 1124965884. It was assigned to this individual provider in the NPPES registry on April 30, 2026.

Where is Amanda Olivas located?

Amanda Olivas practices at 1609 E Roma Ave, Phoenix, AZ 85016. The listed phone number is (602) 748-6197.

What is Amanda Olivas's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Amanda Olivas was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.