Individual provider Active NPI

Christa L O'Mara, FNP-C

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1003975012
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11351 Issued in AZ
Practice address
7701 W Aspera Blvd
Glendale, AZ 85308-7947
Phone
(623) 248-2108
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP11351 AZ Primary

Addresses

Primary practice location

7701 W Aspera Blvd
Glendale, AZ 85308-7947

Mailing address

2500 W Utopia Rd Ste 100
Phoenix, AZ 85027-4172
Phone (623) 683-4462

Other practice location 1

19829 N 27th Ave
Phoenix, AZ 85027-4001
Phone (623) 683-4462

Other identifiers 1

IdentifierTypeStateIssuer
449194MedicaidAZ

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
I20181213001458 AZ Practitioner - Nurse Practitioner 5092050450 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner Physician Specialists Arizona LLCGroup PAC ID 6204002272, 371 clinicians

Practice addresses (Care Compare)

7701 W Aspera Blvd
Stes 102 201 301
Glendale, AZ 85308-7935
Phone (623) 248-2100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11351AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Current Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Aug 30, 2023 Accepting new patients
Honorhealth Ambulatory CurrentSince Sep 25, 2018 Accepting new patients
Squaw Peak Family Physicians PC Current Accepting new patients
Honorhealth Ambulatory CurrentSince Sep 25, 2018 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Dec 8, 2024 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Aug 30, 2023 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Sep 25, 2018 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Sep 25, 2018 Accepting new patients
Banner Primary Care Physicians Arizona LLC PastSince Dec 8, 2024 Accepting new patients

Locations (25 of 30)

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711

6220 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 547-7200

7701 W Aspera Blvd
Glendale, AZ 85308
Phone (623) 248-2100

7701 W Aspera Blvd
Ste 102
Glendale, AZ 85308
Phone (623) 248-2100

7701 W Aspera Blvd
#1
Glendale, AZ 85308

7701 W Aspera Blvd
#102
Glendale, AZ 85308

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

1124 E McKellips Rd
Ste 110
Mesa, AZ 85203
Phone (480) 882-4509

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

3311 N 44th St
Phoenix, AZ 85018
Phone (480) 882-7360

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

20745 N Scottsdale Rd
Ste 105
Scottsdale, AZ 85255
Phone (480) 534-4525

34525 N Scottsdale Rd
Scottsdale, AZ 85266
Phone (480) 882-7550

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

7351 E Osborn Rd
Ste 100
Scottsdale, AZ 85251
Phone (480) 882-7300

10200 N 92nd St
Ste 150
Scottsdale, AZ 85258
Phone (480) 860-8488

10419 E McDowell Mtn Ranch Rd
Ste A100
Scottsdale, AZ 85255
Phone (480) 882-7530

34525 N Scottsdale Rd
Ste 100
Scottsdale, AZ 85266
Phone (480) 882-7550

10900 N Scottsdale Rd
Ste 603
Scottsdale, AZ 85254
Phone (480) 607-3800

Organizations & group practices 12

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1003975012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W UTOPIA RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274172",
            "telephone_number": "623-683-4462",
            "fax_number": "480-882-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 W ASPERA BLVD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087947",
            "telephone_number": "623-248-2108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19829 N 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850274001",
            "country_code": "US",
            "telephone_number": "623-683-4462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'MARA",
        "first_name": "CHRISTA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "449194",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.