Individual provider Active NPI

Charity Lynn O'Leary-Taylor, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1396225082
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
267356 Issued in AZ
Practice address
2851 S Avenue B Ste 2901
Yuma, AZ 85364-7756
Phone
(928) 304-7729
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN196190 AZ
School Registered Nurse 163WS0200X RN196190 AZ
Family Nurse Practitioner 363LF0000X 267356 AZ Primary

Addresses

Primary practice location

2851 S Avenue B Ste 2901
Yuma, AZ 85364-7756

Mailing address

12398 E del Rico
Yuma, AZ 85367-7363
Phone (951) 751-0612

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
I20220321000281 AZ Practitioner - Nurse Practitioner 2860887361 Reassigns benefits to 2 organizations

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
Community Intervention Associates Inc.Group PAC ID 4880851971, 9 clinicians

Practice addresses (Care Compare)

2851 S Ave B
BLDG 4
Yuma, AZ 85364-7726
Phone (928) 376-0026

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Yuma, AZ, CCN 037280
  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN196190AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Intervention Associates, Inc. CurrentSince Nov 28, 2023 Accepting new patients
Community Intervention Associates, Inc. Current Accepting new patients
Community Intervention Assciates, Inc CurrentSince Nov 28, 2023 Accepting new patients
Sunset Community Health Center Inc PastSince Dec 7, 2025 Accepting new patients
Sunset Community Health Center Inc Past Accepting new patients

Locations

2851 S Avenue B
Bldg 4
Yuma, AZ 85364
Phone (928) 919-2436

2851 S Avenue B
Ste 2901
Yuma, AZ 85364
Phone (928) 304-7229

410 S Maiden Ln
Yuma, AZ 85364
Phone (520) 604-8306

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1396225082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12398 E DEL RICO",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853677363",
            "telephone_number": "951-751-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 S AVENUE B STE 2901",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647756",
            "telephone_number": "928-304-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY-TAYLOR",
        "first_name": "CHARITY",
        "middle_name": "LYNN",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN196190",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN196190",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "267356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.