Individual provider Active NPI

Emetu Onuma

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1003424771
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
276789 Issued in AZ
Practice address
2745 W Jessica LN
Phoenix, AZ 85041-4442
Phone
(480) 200-7688
NPI assigned
Jul 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0808X RN206350 AZ
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 276789 AZ Primary

Addresses

Primary practice location

2745 W Jessica LN
Phoenix, AZ 85041-4442

Mailing address

2745 W Jessica LN
Phoenix, AZ 85041-4442
Phone (480) 200-7688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220711000084 AZ Practitioner - Nurse Practitioner 7012397821 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blessinglaz Health and Wellness LLC CurrentSince Jul 2, 2023 Accepting new patients
Az Compassionate Care Behavioral & Wellness Clinic LLC Multi-Specialty CurrentSince Jan 1, 2025 Accepting new patients
Strategies for Success Consulting, PC Multi-Specialty CurrentSince Sep 15, 2023 Accepting new patients
Angels Valley Community Healthcare Center PLLC Multi-Specialty CurrentSince Jun 12, 2023 Accepting new patients
Infinity Medical Providers LLC Multi-Specialty CurrentSince Mar 29, 2024 Accepting new patients
Strategies for Success Consulting, PC PastSince Aug 30, 2020 Accepting new patients

Locations

3377 S Price Rd
Ste 103
Chandler, AZ 85248
Phone (480) 252-5152

4980 S Alma School Rd
Ste A2242
Chandler, AZ 85248

5656 S Power Rd
#C140
Gilbert, AZ 85295
Phone (480) 252-5152

6739 W Cactus Rd
Peoria, AZ 85381
Phone (623) 240-1110

21001 N Tatum Blvd
Ste 1630
Phoenix, AZ 85050
Phone (408) 718-0568

15640 N 7th St
Ste A1
Phoenix, AZ 85022
Phone (602) 858-0191

14820 N Cave Creek Rd
Ste 2
Phoenix, AZ 85032
Phone (202) 455-0013

Networks

  • NM HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: emetu.onuma@direct.azpir.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/21825/brand/1/csg/1/fhir/r4
  • Direct secure messaging: emetu.onuma@240587814797316.direct.elationemr.com
  • Direct secure messaging: emetu.onuma.1@24259.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1003424771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 W JESSICA LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414442",
            "telephone_number": "480-200-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 W JESSICA LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414442",
            "telephone_number": "480-200-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONUMA",
        "first_name": "EMETU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-20",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN206350",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "276789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.