1. Home
  2. Directory
  3. West Virginia
  4. Charleston
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

OLIVIA NICOLOUDAKIS DO
NPI 1235074915
Student in an Organized Health Care Education/Training Program in Charleston, WV

Active since April 21, 2026PECOS Enrolled
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 388-6004(304) 388-3360 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Olivia Nicoloudakis Do NPPES

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

OLIVIA NICOLOUDAKIS DO (NPI 1235074915) is an individual student in an organized health care education/training program in Charleston, West Virginia and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235074915
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameOLIVIA NICOLOUDAKISCredential: DO
Location Address3200 MACCORKLE AVE SECharleston, WV 25304-1227
Mailing Address3200 Maccorkle Ave SeCharleston, WV 25304-1227 · (304) 388-6004 · Fax (304) 388-3360
Phone(304) 388-6004
Fax(304) 388-3360
Sole ProprietorYes
Enumeration DateApril 21, 2026
NPPES CertifiedApril 21, 2026
✔ NPI 1235074915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3200 MACCORKLE AVE SE, Charleston, WV 25304
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivia Nicoloudakis Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMERON DUBA DO
Emergency Medicine
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-4172
WILLIAM JARRETT WISEMAN BSN, RN, CCRN-CMC
Registered Nurse
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 993-1088
MS. BRENDA LOU KEEFER ANP
Nurse Practitioner (Family)
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 925-3436
LOUISE NAYLOR
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARSTON, WV 25304
Kanawha County (304) 388-4077
DR. JEFFREY V ASHLEY M.D.
Family Medicine
3200 MACCORKLE AVE SE, FIFTH FLOOR
CHARLESTON, WV 25304
Kanawha County (304) 388-4600
TIFFANY D. DUTTON CRNA
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE, DEPT. OF SURGERY
CHARLESTON, WV 25304
Kanawha County (304) 388-5503
JENNIFER D VALDEZ
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-5432
CHRISTOPHER S MULLINS
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 688-0228

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 Olivia Nicoloudakis's NPI number?

The NPI number for Olivia Nicoloudakis is 1235074915. It was assigned to this individual provider in the NPPES registry on April 21, 2026.

Where is Olivia Nicoloudakis located?

Olivia Nicoloudakis practices at 3200 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 388-6004.

What is Olivia Nicoloudakis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Olivia Nicoloudakis enrolled in Medicare?

Yes. Olivia Nicoloudakis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olivia Nicoloudakis was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.