Tonya Crockett Omar, LPA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2523 Issued in NC

Practice address

3500 Westgate Dr
BLDG. 100 Ste. 101
Durham, NC 27707-2567

Phone

(919) 423-3431

Fax

(919) 403-6106

NPI assigned

Nov 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345766400000",
    "number": "1679649131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 WESTGATE DR",
            "address_2": "BLDG. 100 STE. 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072567",
            "telephone_number": "919-423-3431",
            "fax_number": "919-403-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 WESTGATE DR",
            "address_2": "BLDG. 100 STE. 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072567",
            "telephone_number": "919-423-3431",
            "fax_number": "919-403-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAR",
        "first_name": "TONYA",
        "middle_name": "CROCKETT",
        "name_prefix": "Mrs.",
        "credential": "LPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107031",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lyra Beatriz Olson, MD PHD
• Sarah Olson
• Ibukunoluwa Olubowale, MD
• Adeyemi John Olufolabi, MD
• Moyosore Abiodun Olusesi, LCSWA
• Philip A. Omotosho, MD
• Sherifat Omozokpea, PHARMD
• Pius Ondachi, LPC-A
• One in a Million Speech Therapy, PLLC
• One in Unity

• Psychologist in Durham, NC
• Providers in Durham, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; 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.