Roula Omary

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86080444 Issued in CA

Practice address

8949 Rising Mist Way
Roseville, CA 95747-7128

Phone

(916) 670-9667

NPI assigned

Jan 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1611360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1255921292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8949 RISING MIST WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957477128",
            "telephone_number": "916-670-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8949 RISING MIST WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957477128",
            "telephone_number": "916-670-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMARY",
        "first_name": "ROULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-23",
        "last_updated": "2022-02-11",
        "certification_date": "2021-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86080444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1660 Eureka Rd",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danielle Olson
• Katelyn Marie Olson, LMFT
• Loree A Olson, PT
• Maryel Olson, PA
• Bassil Omary
• Roxanne Omoaholo
• Chelsea Omoore
• Janelle Onderko
• One Love Care Homes LLC
• Rachel Oney

• Registered Dietitian in Roseville, CA
• Providers in Roseville, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.