Active NPI
Omega Geriatrics Co. Inc
- Clinical Social Worker
- Sedona, AZ
National Provider Identifier
1104839752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-12084
- Legal business name
- OMEGA GERIATRICS CO. INC
- Practice address
- 55 Kaibab Way
Sedona, AZ 86351-7335 - Phone
- (928) 300-4362
- Fax
- (928) 284-1721
- NPI assigned
- Aug 14, 2006
- Last updated
- Oct 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nancy Jean Ryba, LCSW
- Title
- LCSW
- Phone
- (928) 300-4362
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-12084 | AZ | Primary |
Addresses
Primary practice location
55 Kaibab Way
Sedona, AZ 86351-7335
Mailing address
55 Kaibab Way
Sedona, AZ 86351-7335
Phone (928) 300-4362
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Sedona, AZ
- NPI 1508879149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191801600000",
"number": "1104839752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 KAIBAB WAY",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863517335",
"telephone_number": "928-300-4362",
"fax_number": "928-284-1721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 KAIBAB WAY",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863517335",
"telephone_number": "928-300-4362",
"fax_number": "928-284-1721"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMEGA GERIATRICS CO. INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-14",
"last_updated": "2007-10-08",
"status": "A",
"authorized_official_last_name": "RYBA",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "LCSW",
"authorized_official_telephone_number": "928-300-4362",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-12084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sedona, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.