Active NPI
Optimized Wellness Virtual and Home Health Services
- Family Nurse Practitioner
- Maricopa, AZ
National Provider Identifier
1528659299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charity Ukwuoma
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | EMR | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
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.
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.