Active NPI
Emetu Onuma
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 276789
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN206350 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessinglaz Health and Wellness LLC | Current | Accepting new patients | |
| Az Compassionate Care Behavioral & Wellness Clinic LLC | Multi-Specialty | Current | Accepting new patients |
| Strategies for Success Consulting, PC | Multi-Specialty | Current | Accepting new patients |
| Angels Valley Community Healthcare Center PLLC | Multi-Specialty | Current | Accepting new patients |
| Infinity Medical Providers LLC | Multi-Specialty | Current | Accepting new patients |
| Strategies for Success Consulting, PC | Past | 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
- emetu.onuma@direct.azpir.nextgenshare.com
- https://api.platform.athenahealth.com/21825/brand/1/csg/1/fhir/r4
- emetu.onuma@240587814797316.direct.elationemr.com
- 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.
-
- Physician Assistant
- Phoenix, AZ
- NPI 1689303117
Multi-Specialty
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1891490876
Multi-Specialty
-
dba Infinity Medical Providers
- Family Medicine Physician
- Phoenix, AZ
- NPI 1154957678
Multi-Specialty
-
- Clinical Social Worker
- Chandler, AZ
- NPI 1306196878
Multi-Specialty
-
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
- NPI 1316624661
-
dba Strategies for Success
- Multi-Specialty Clinic/Center
- Chandler, AZ
- NPI 1144833369
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.