Individual provider Active NPI

Shenika O'Mara, NP

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1043030299
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11035575 Issued in FL
Practice address
13650 NW 4TH St Apt 303
Pembroke Pines, FL 33028-2250
Phone
(973) 980-4658
NPI assigned
Oct 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 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 11035575 FL Primary

Addresses

Primary practice location

13650 NW 4TH St Apt 303
Pembroke Pines, FL 33028-2250

Mailing address

13650 NW 4TH St Apt 303
Pembroke Pines, FL 33028-2250
Phone (973) 980-4658

Other names 1

  • Shenika Washington Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250226001600 FL Practitioner - Nurse Practitioner 5395265979 Reassigns benefits to 2 organizations
I20251216000367 AZ Practitioner - Nurse Practitioner 5395265979 Reassigns benefits to 1 organization
I20260325000542 NY Practitioner - Nurse Practitioner 5395265979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD at Home Central Florida, LLCGroup PAC ID 5395109433, 27 clinicians

Practice addresses (Care Compare)

8201 Peters Rd
Suite 1000
Plantation, FL 33324-3266
Phone (312) 243-2223

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11035575FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD at Home Central Florida, LLC CurrentSince Feb 17, 2025 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Dec 1, 2025 Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

8201 Peters Rd
Ste 1000
Plantation, FL 33324
Phone (312) 243-2223

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Interoperability endpoints

  • Direct secure messaging: shenika.o.mara.1@3342.direct.athenahealth.com

Organizations & group practices 4

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": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1043030299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13650 NW 4TH ST APT 303",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282250",
            "telephone_number": "973-980-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13650 NW 4TH ST APT 303",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282250",
            "telephone_number": "973-980-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MARA",
        "first_name": "SHENIKA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHENIKA",
            "last_name": "WASHINGTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.