MRS. CAREN A OMONDI PMHNP FNP NPI 1750759395

NPI Information

NPI: 1750759395
Provider Name: MRS. CAREN A OMONDI, PMHNP, FNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
15411 W WADDELL RD
STE 102,
SURPRISE, AZ
ZIP 85379
Phone: (602) 697-6963
Get Directions

MRS. Caren A Omondi, PMHNP, FNP is a psychiatric/mental health nurse practitioner in Surprise, AZ with 9 years of experience. MRS. Caren A Omondi, PMHNP, FNP NPI is 1750759395. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15411 W WADDELL RD
STE 102,
SURPRISE, AZ
ZIP 85379-431
Phone: (602) 697-6963
Fax: (844) 628-1655

The NPI 1750759395 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 9/14/2015 and was last updated on 6/16/2023.

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	363LP2300X	Nurse Practitioner	Primary Care	AP8487	ARIZONA	No
2	363LF0000X	Nurse Practitioner	Family	AP8487	ARIZONA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP8487	ARIZONA	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	1139936	MEDICAID	ARIZONA

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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