Organization Active NPI

Optimized Wellness Virtual and Home Health Services

  • Family Nurse Practitioner
  • Maricopa, AZ
National Provider Identifier
1528659299
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
OPTIMIZED WELLNESS VIRTUAL AND HOME HEALTH SERVICES
Practice address
20801 N Alexis Ave
Maricopa, AZ 85138-6862
Phone
(623) 826-4757
NPI assigned
Jan 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Charity UkwuomaNPI 1578912473
Title
NP
Phone
(602) 767-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

20801 N Alexis Ave
Maricopa, AZ 85138-6862

Mailing address

20801 N Alexis Ave
Maricopa, AZ 85138-6862
Phone (623) 826-4757

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL EMR Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210208001023 AZ Part B Supplier - Clinic/Group Practice 5597179374 Receives reassigned benefits from 1 practitioner
Practice locations: Maricopa, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1528659299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20801 N ALEXIS AVE",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851386862",
            "telephone_number": "623-826-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20801 N ALEXIS AVE",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851386862",
            "telephone_number": "623-826-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMIZED WELLNESS VIRTUAL AND HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "UKWUOMA",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "602-767-3900"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "20801 N Alexis Ave",
            "city": "Maricopa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851386862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.