Active NPI
Rita M Omara, APRN BC
- Nurse Practitioner
- Orland Park, IL
National Provider Identifier
1598867764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209-004690
- Practice address
- 10735 W 159TH St
Orland Park, IL 60467-4531 - Phone
- (708) 873-7775
- Fax
- (708) 246-0578
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209-004690 | IL | Primary |
Addresses
Primary practice location
10735 W 159TH St
Orland Park, IL 60467-4531
Mailing address
1860 Payshere Cir
Chicago, IL 60674-0001
Phone (630) 469-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-004690 | IL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1598867764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PAYSHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606740001",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10735 W 159TH ST",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604674531",
"telephone_number": "708-873-7775",
"fax_number": "708-246-0578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMARA",
"first_name": "RITA",
"middle_name": "M",
"credential": "APRN BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209-004690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.